Valentines Gift Guide 2025

Valentine’s Day is the perfect time to celebrate love in all its forms—romantic, platonic, and perhaps most importantly, self-love (because no one can pour from an empty cup!) Whether you're searching for a thoughtful gift for your partner, a meaningful surprise for your best friend, or a well-deserved indulgence for yourself, the AEDIT team has curated a gift list that will make February 14th uniquely special according to what and whom you cherish most.

### **Because You Deserve It: Valentine’s Gifts for Yourself** 

Taking care of yourself isn’t a luxury—it’s a priority. Here at AEDIT, we are big fans of optimizing our overall wellness to feel great and show up in life the way we want. Here are four smart ways to make the most of your investment in yourself:

**Nootropic coffee creamer by Cymbiotika** 

Give yourself the advantage of smarter mornings with [Cymbiotika’s Nootropic Coffee Creamer](https://cymbiotika.com/collections/supplements-best-sellers/products/nootropic-creamer?utm_source=google&utm_medium=cpc&utm_campaign=21820936041&utm_term=&nbt=nb%3Aadwords%3Ax%3A21820936041%3A%3A&nb_adtype=pla_with_promotion&nb_kwd=&nb_ti=&nb_mi=132053777&nb_pc=online&nb_pi=7685699895343&nb_ppi=&nb_placement=&nb_li_ms=&nb_lp_ms=&nb_fii=&nb_ap=&nb_mt=&gad_source=1&gclid=Cj0KCQiA4-y8BhC3ARIsAHmjC_H-zKEzImHuCEujdhMfwiFhnXtIjqDdEQLT0ewwXo_rIxGdFDun-iEaAvDfEALw_wcB)—the perfect way to supercharge your daily cup of coffee without giving up your favorite ritual. Infused with powerful nootropics, this functional superfood **supports focus, memory, and creativity while delivering smooth, sustained energy**.
	
**Medspa Membership**	

A **Medspa membership** is the ultimate beauty investment, making it easier to stay on top of skincare, body treatments, and self-care—all while saving money (because that’s just smart girl math!). With exclusive discounts, complimentary treatments, and VIP perks, a membership ensures **consistent beauty maintenance** without the hassle or guessing game of a-la-carte appointments. 

**Reflexology Facial**

Combine wellness and relaxation by indulging in a **reflexology facial.** A step outside your traditional facial experience, this treatment combines skincare with the healing power of reflexology. By applying gentle pressure to specific points on the face, this holistic therapy helps **boost circulation, reduce tension, and promote overall well-being**—all while leaving the skin glowing and rejuvenated.

**Lymphatic Drainage Massage**

Elevate the wellness element of your next bodywork experience with a **lymphatic drainage massage.** A gentle yet powerful treatment designed to **reduce bloating, flush out toxins, and sculpt the body.** Using rhythmic, light-pressure techniques, this massage stimulates the lymphatic system, promoting **detoxification, improved circulation, reduction in puffiness and water retention, and promotes deep relaxation.**

### **Gifts for Your Partner: Thoughtful Ways to Show You Care** 

A great gift isn’t always about the price tag—it’s about making your partner feel seen, appreciated, and loved. Go beyond the cards and candy and choose something that reminds your partner that their happiness is just as much a priority as your own.

**Plan a Breakfast Date** 

Start the morning **slow and intentional**—find a cozy café, put your phones away, and enjoy deep conversation over a nourishing breakfast and a perfectly brewed cup of coffee. This simple yet thoughtful gift is about **quality time and connection**, something far more valuable than any material present.

**Arma Colostrum "The Inner Fire" Limited Edition Bundle**

For the **health-conscious and wellness enthusiast**, this [premium colostrum bundle supports](https://tryarmra.com/products/the-inner-fire-bundle) **gut health, immunity, and overall vitality**. Packed with essential nutrients, it's the perfect gift for someone who values **optimal well-being and high-performance living**.

**Float Pod: Sensory Deprivation Chamber Experience**

Indulge them in **total relaxation and mental clarity** with a **float therapy session**. Floating in a zero-gravity, sensory-free pod helps reduce stress, ease muscle tension, and promote **deep mental and physical recovery**— ideal for the **overworked, stressed, or wellness-obsessed** partner.


**Luxury Pajamas | Eberjey Sleepwear Collection**

Upgrade your SO’s **sleepwear game** with ultra-soft, breathable [luxury pajamas from Eberjey](https://eberjey.com/collections/pajamas-shop-all). These stylish yet ridiculously comfortable PJs are perfect for lounging, sleeping, or slow **Sunday mornings**—a gift that’s both practical and indulgent.

### **Gifts for Your Best Friend: Because Friendship Deserves to Be Celebrated** 

A true friend is more than someone to share laughs with—they’re a constant, a confidant, and a source of unconditional support. In today's world where we often feel overwhelmed and spend more time alone than ever, having someone you can always count on is something to celebrate. Here are four ways to make your best friend's day a bit brighter: 

**NuFACE Mini Starter Kit**

Help your best friend glow with the [NuFACE Mini Starter Kit](https://www.mynuface.com/products/mini?variant=39867355103322&currency=USD&utm_medium=product_sync&utm_source=google&utm_content=sag_organic&utm_campaign=sag_organic&tw_source=google&tw_adid=&tw_campaign=17503436284&tw_source=google&tw_adid=&tw_campaign=17503436284&gad_source=1&gclid=CjwKCAiA2JG9BhAuEiwAH_zf3kZOHKEGnVW1BExPEWQ1XMy5e9Ysm-jsD68KO_oSNJCvnT_VsWzMrRoCgNYQAvD_BwE), a compact and portable microcurrent device that **lifts, tones, and contours** the face. For the skincare lover, this facial toning tool provides a spa-like treatment at home and is the perfect blend of **technology and luxury** in a simple, easy-to-use device.

**Book a Sound Bath for the Two of You**

Share the joy of **deep relaxation and harmony** with a **sound bath experience**. You and your bestie can find comfort and balance in the vibrations of sound therapy, helping to relieve stress, boost energy, and promote inner peace. Embarking on a wellness journey together can be the ultimate **bonding experience** that nourishes both the body and mind.

**Drowsy Midnight Blue Sleep Collection Set** 

Help your bestie drift into the deepest slumber with this [luxurious sleep duo from Drowsy](https://us.drowsysleepco.com/products/midnight-blue-gift-set-deep-sleep-collection?variant=42836647510202&country=US&currency=USD&utm_medium=product_sync&utm_source=google&utm_content=sag_organic&utm_campaign=sag_organic&tw_source=google&tw_adid=666430210298&tw_campaign=20381521149&gad_source=1&gclid=CjwKCAiA2JG9BhAuEiwAH_zf3rJbG6LLkXt8BNIXPCfe4hVIw8tE7XMqqSF03XKTq1s9TYxfzM471BoCHfsQAvD_BwE). The cult-favorite **Drowsy Silk Sleep Mask**—crafted from plush, padded silk—blocks 100% of light while protecting your skin and hair. Paired with the **multi-award-winning SOS Pillow Spray**, infused with a calming botanical blend, this set transforms nighttime routines into a dreamlike escape. 

**Mindful Affirmations Set**

Encourage positivity and mindfulness with a [Mindful Affirmations Set](https://www.intelligentchange.com/collections/mindful-affirmations/products/mindful-affirmations-collection-four-editions). These beautifully designed cards are filled with empowering affirmations to help your friend stay grounded and uplifted. It’s the perfect **inspirational gift** that supports **mental well-being, gratitude, and personal growth**.

No matter your love language, or the recipient, we hope you have a Valentine's Day that qualifies as “perfect” in your book. 


Now Trending

Valentine's Day gift guide covering thoughtful wellness and beauty gifts for you, your partner and your best friend

Thoughtful Valentine's gifts to celebrate love in all its forms—for yourself, your partner or your best friend. 

Our 2025 Valentine's Day Gift List

Lindsay Lohan

Lindsay Lohan Thumbnail

We’ve officially entered what the internet is calling the “undetectable era” of plastic surgery. Technology has advanced so far that it’s almost impossible to tell what work has been done—unless you’re an expert, of course. And, possibly the craziest part is that you can make impactful change within a matter of minutes; you can kiss wrinkles and fine lines goodbye during your lunch break.

As we move into 2025, there are tons of non-invasive treatments to enhance features and reverse the signs of aging. These types of treatments typically are in-office and, compared to surgery, have a much lower price tag; think dermal filler, Botox, and laser. They can cost anywhere from a couple hundred to a few thousand dollars per session. True plastic surgeries remain the most effective, but they require significant downtime and can cost thousands of dollars. 

With so many recent celebrity transformations, we’re itching for answers on how to turn heads like Lindsay Lohan did. Read on as we cover what work Lindsay Lohan likely had done, what non-invasive procedures to book for a major glow-up, and what you can realistically accomplish on a non-celebrity budget. 

## **Here’s an Overview of Lindsay Lohan’s Transformation**

When Lindsay Lohan stepped out onto the red carpet to promote her new holiday Netflix film “Our Little Secret,” the entire internet’s metaphorical jaw dropped. Lohan’s skin appeared more radiant and youthful and her face sculpted and refreshed. While she hasn’t confirmed what work she has done, experts like [William Kennedy, MD,](https://aedit.com/provider/william-kennedy-md-26292) board-certified Head & Neck Surgeon and Facial Plastic Surgeon, and Founder of AEDIT MedSpa™, suggest that her results could be attributed to a combination of surgical and non-surgical treatments:

**Non-surgical:**

- Injectables (e.g. Botox, brow lift, lip and cheek filler)
- Filler dissolution in the cheeks
- Skin smoothing treatments (e.g. nonablative lasers, chemical peels and micro-needling)
- Weight loss (most likely from a healthy diet and lifestyle choices vs. GLP-1s) 
- Peptides and NAD+ 

**Surgical:**

- Rhinoplasty
- Lower blepharoplasty
- Face and neck lifts

## **Book These Non-Invasive Treatments For A Major Glow-Up**

Thanks to advancements in cosmetic technology, a variety of non-invasive treatments can help achieve a similar transformation to Lohan. Here are some of the most effective options, recommended by Dr. Kennedy:

Ablative laser or chemical peel: resurfacing procedures can help smooth out the quality of the skin. These types of treatments are great for minimizing scarring, pigmentation issues, and sun damage.

- **Laser resurfacing or microneedling:** these treatments work to tighten and smooth skin. They can be great options for people suffering from poor skin elasticity, acne scars, wrinkles, stretch marks, or uneven pigmentation.
- **Botox:** this injectable helps temporarily smooth out fine lines and wrinkles or redefine the jawline when injected into the masseter muscles.
- **Filler and filler dissolution:** dermal filler can help reduce the signs of aging by restoring volume as well as enhance facial features. Filler dissolution has also been gaining popularity as a way to get rid of migration, puffiness, or simply restore a patient’s natural appearance. Dr. Kennedy recommends consulting with an experienced injector to see if any existing filler can or should be dissolved. 
- **HydraFacial:** similar to microdermabrasion, HydraFacials remove dead skin from the face to make the skin more radiant and hydrated. --
- **Peptide and NAD+ therapy:** incorporating peptides and NAD+ therapy will boost overall skin vitality and energy, maintaining a youthful, glowing appearance. These treatments together offer a refreshed, rejuvenated look without surgery.
- **EMFACE:** for those not ready to commit to a face or neck lift, EMFACE can improve muscle tone and tighten the skin around the cheeks and submental area. 

As always, it’s important to manage expectations. These treatments outlined above can be absolute miracle workers, but, as Dr. Kennedy speculated, Lohan most likely had a couple of plastic surgeries (a lower blepharoplasty and a face and neck lift). Dr. Kennedy guessed that Lohan’s glow-up could have cost anywhere from $60k to $300k. 

## **Expert Recommendations**

The key to a successful makeover? Working with a highly reviewed, board-certified provider who can provide a professional assessment of what is medically achievable for your specific concerns and then deliver those results. Dr. Kennedy explains that a comprehensive approach may involve combining multiple treatments strategically over a short period, making lifestyle adjustments, such as improved diet and exercise, and diligently following pre- and post-treatment instructions to maximize results and ensure a safe, effective transformation.

## **Patient Perspective**

As a beauty writer, I’ve covered a lot of cosmetic treatments and surgeries over the years; I’ve spoken with dozens of expert plastic surgeons and dermatologists, and it wasn’t until recently that I comprehended just how big of a shift we’re seeing in cosmetic advancements. 

If you read my 101 article on [EMFACE](https://aedit.com/aedition/everything-you-need-to-know-about-emface) (shameless plug: read it, if you haven’t already!), then you probably know that I met with Dr. Shafer and his team at the [Shafer Clinic](https://www.shaferplasticsurgery.com/) over the fall to get a first-hand perspective of this new treatment. Despite all of the research I had done, I was totally taken aback (in a good way!) by the results. EMFACE significantly tightened the skin around my jawline and chin, making my face appear more youthful and thinner. Friends and family would comment - and still comment - on how good I look. And, unless I tell them about the treatment, there is virtually no way for them to know what “work” I had done. 

Possibly the most mind-boggling part of it all is how little effort it took. I would pop into the Shafer Clinic (which is conveniently just a few blocks from Grand Central) and be in and out within 45 minutes—but, it could easily be under 30 minutes had I not been so chatty. 

I met with Lucia Miranda, LE, CCMA, licensed esthetician at Shafer Clinic, for all four of my sessions. After wiping the skin with an alcohol cleanser, she would place the back grounding pad, two facial pads on my cheeks, and a third facial pad under my chin. With EMFACE, you have the option to target the forehead of the submental area (the triangle under the chin). Lucia usually recommends targeting the submental area, which tightens any loose skin on the lower face.

“I often recommend EMFACE to patients who are concerned about jowls or noticing a 'turkey neck.' The submental pad allows us to target and lift the lower face, reducing sagging. While EMFACE does have a forehead pad, I rarely use it because I find that neuromodulators and fillers tend to provide more precise results for addressing forehead lines and wrinkles,” Miranda shares with us.

The actual procedure is 20 minutes and a little uncomfortable; your face twitches involuntarily and there’s a bit of a tickling sensation. But, as far as cosmetic treatments go, it really was not that bad. At the end of it, I was able to go back to my day as if nothing had happened; there was no swelling or bruising, just a little redness—and, only because my skin is on the fair side.  

When researching EMFACE, the word ‘subtle’ kept popping up. It’s not an inexpensive treatment, so I kept thinking, why would someone spend thousands of dollars for “subtle” results? Now having experienced it first-hand, I get it; the results are meaningful but discreet. After EMFACE, my jawline is more sculpted and the skin is taut. The results are noticeable, but it’s totally natural-looking. Friends and family notice that I look better, but can’t quite put their finger on it. It just goes to show, we’re in the undetectable era. 

Discover non-invasive treatments to achieve Lindsay Lohan's flawless look—radiant skin, sculpted features, and timeless beauty with zero downtime

Get Lindsay Lohan’s Look: Non-Invasive Beauty Secrets

Here’s How to Get a Lindsay Lohan Like Transformation—Without Going Under the Knife

Image Credit: Adam Hale @the.daily.splice

If you haven’t already noticed, we’re always talking about dermal fillers on The AEDITION. To say we’re obsessed might be an understatement. Over the past six years, we’ve covered everything from [lip augmentation](https://aedit.com/aedition/what-its-like-to-get-lip-filler) to [liquid rhinoplasties](https://aedit.com/aedition/facts-about-liquid-rhinoplasty) and [chin enhancements](https://aedit.com/aedition/best-chin-augmentation-enhancement-procedures) to[ filler fatigue](https://aedit.com/aedition/dermal-filler-fatigue). Most recently, we've taken a deep dive into under-eye filler where we laid out all of its benefits and limitations — and we were surprised to learn there’s actually a lot of criteria to be considered a good candidate. So, if you found out that under-eye filler is not for you, you’ll definitely want to read on. We reached out to some of the top plastic surgeons to round up nine filler alternatives to help rejuvenate your under-eyes. 

## ***Under-eye Issues and Causes***

When it comes to under-eye issues, they usually fall into one of three buckets: dark circles, bags, or hallowing. Dark circles, which are sometimes referred to as “raccoon eyes,” are when the skin under the eyes appears darker. Because the skin under the eyes is so thin, we can see a blue, purple, or red tint when the blood vessels are dilated. Under-eye bags, on the other hand, is an issue when there’s an abnormal amount of swelling or puffiness under the eyes. Everyone actually has under-eye bags, but unless there’s sagging skin of excess fluid, they’re usually not noticeable. Lastly, there’s hallowing, which is usually a result of heredity or aging. Some people are born with a more defined tear trough (the area between the eyelid fat pad and the cheek fat pad) whereas others can experience volume loss as they get older. 

While each of these under-eye concerns affects the same area, they each have different causes and treatments. When you meet with your board-certified practitioner, they’ll help you determine the root cause of your under-eye issues. But, these are the main culprits:

- **Age:** When we age, we tend to lose volume and gravity can cause     sagging. 
- **Lifestyle:** Things like insufficient sleep, alcohol consumption, and smoking can cause a whole slew of under-eye issues.  
- **Allergies:** When allergies cause nasal congestion, they can increase the pressure in the blood vessels under the eyes. This can cause discoloration, known as “allergic shiners.” 
- **Health:** Under-eye bags, which can be caused by fluid retention, can sometimes be a symptom of an underlying health condition, like hypo or hyperthyroidism, kidney dysfunction, or liver dysfunction. 

## **Limitations Around Under-eye Injectables**

While tear-trough filler is commonly talked about when addressing under-eye issues, it actually isn’t a great solution for most people. For starters, it’s not going to fix dark circles or under-eye bags. In fact, getting filler to correct pigmentation issues or puffiness is only going to make the problem worse; instead of concealing the dark circles or under-eye bags, filler would accentuate it. 

Injectables do have a very specific time and place though; they can restore lost volume in the tear trough area. So, the ideal candidate would have hollowness without under-eye puffiness or darkness. [Flora Levin](https://www.drfloralevin.com/), MD, Board-Certified Oculofacial Plastic Surgeon, told us that only a small portion of those with dark circles are actually filler candidates.

Most board-certified practitioners would recommend a hyaluronic acid (e.g. Restylane, Juvederm, Belotero, etc) to treat this area. [Meegan Gruber](https://www.drmeegangruber.com/?gad_source=1&gclid=CjwKCAiA9bq6BhAKEiwAH6bqoJXjGRtMQBk6cShOn_UiQ52T1VE0D5I9ejpySe8hvQmfrbtYYzdL-hoCXBYQAvD_BwE), MD, PhD, Aesthetic Plastic Surgeon, says that this is because hyaluronic acid can be easily dissolved if the results are not as desired or if there has been an excess application. 

It’s always important to find a reputable injector, but even more so when targeting the eyes. Because the skin under the eyes is incredibly delicate and full of blood vessels, it’s more prone to bruising and swelling. If injected improperly, patients can develop nodules, experience discoloration (Tyndall Effect), or overfilling. More seriously (but very rarely), improper injections can even lead to tissue damage or even blindness. 

## **9 Alternatives to Under-eye Filler**

We spoke to three top plastic surgeons to find out the best filler alternatives to help depuff, conceal, and rejuvenate the under-eyes. Here are nine of their recommendations:

**Lifestyle changes**

We’ve said it before and we’ll say it again, but having a healthy lifestyle really is a key part of maintaining a youthful appearance. Lifestyle factors like smoking, alcohol consumption, and sleep can all impact our under-eye region. 

According to [Dr. William Kennedy, MD](https://aedit.com/provider/william-kennedy-md-26292), board-certified Head & Neck Surgeon and Facial Plastic Surgeon, and Founder of AEDIT MedSpa™; “While the effects of poor habits are usually reversible, they really can impact the appearance of our under-eyes. It’s not a myth that lack of sleep can lead to dark circles. When someone doesn’t get enough sleep, the blood vessels under the eye dilate. This occurs due to decreased oxygen levels in the eyes causing the blood vessels to expand.  The skin under the eyes is very thin and thus translucent, allowing the dilated blood vessels to become more visible and thus can make the under-eye area appear dark or puffy.” 

**At-home remedies**

For those looking to DIY, there are a number of expert-recommended topicals and tools. Dr. Levin recommends cold compresses or caffeine, which will vasoconstrict and depuff. She also likes creams and concealers to temporarily mask imperfections and even out skin tone. One of Dr. Levin’s favorites is [iT Cosmetics Bye Bye under-eye Bags Daytime eye cream](https://www.itcosmetics.com/skincare/skincare-products/eye-cream/bye-bye-under-eye-bags-daytime-treatment/ITC_1171.html?dwvar_ITC__1171_size=0.5%20US%20fl.%20oz%2F15%20ml&gad_source=1&gclid=Cj0KCQiA_9u5BhCUARIsABbMSPu6m9TrvWI1aGj70yk7mmquV_SzYGY-LyswV3HF5OIlaxa8-CdXgDEaAsuhEALw_wcB&gclsrc=aw.ds), which depuffs, tightens, and smooths.

To achieve a more uniform skin tone, Dr. Gruber recommends retinol or formulations with vitamin C, niacinamide, and vitamin K, which effectively address pigmentation and dark circles. For patients who are looking for added hydration or to enhance elasticity, Dr. Gruber suggests serums containing peptides and hyaluronic acid. But, at the end of the day, Dr. Gruber reminds us that although these remedies may offer some benefits, they typically cannot replace professional treatments. 

**Medication**

While it’s hard to believe, allergies can be the culprit of dark under-eye circles, known as “allergic shiners.” Allergies can be from the environment, specific foods, or any type of irritant. To diminish the allergic shiners, doctors typically prescribe some sort of medication, like an antihistamine, nasal spray, or decongestant.  

The theory behind "allergic shiners" is the result of a combination of physiological responses to allergens, primarily affecting the nose and region around your eyes.  The process begins when the immune system reacts to allergens, which then causes inflammation and swelling in the nasal mucosa.  This swelling causes a slowing of the blood flow in the veins around the paranasal sinuses.  These veins are close to the surface of the skin under the eyes, and when they become congested, they appear darker and puffier, or in lay terms “Allergic Shiners” says Dr. Kennedy.

**Laser**

Laser treatments create a managed burn to the skin at a precise depth to remove the dead cell layer. There are several different types of lasers; some focus on pigments, like sun spots or red spider veins, while others target the water within skin cells. For concerns around the under-eye area, Dr. Gruber says lasers can help lighten pigmentation and boost collagen production to improve skin texture and minimize fine lines. While it depends on the specific laser used and the patient’s skin, most people end up needing several sessions to maximize results. However, Dr. Gruber adds that lasers aren’t the best options when it comes to tackling more profound structural concerns, like hollowing or fat prolapse.

**Chemical Peels**

Peels rely on the application of chemicals to create a gentle, but controlled burn. The micro-injury promotes new skin growth that is typically more rejuvenated with reduced wrinkles. “Peels can assist in achieving a more uniform skin tone and minimize pigmentation concerns that lead to dark circles beneath the eyes,” Dr. Gruber shares with us. “Nonetheless, they don't tackle issues like volume loss, hollowness, or prominent under-eye bags, so they are frequently paired with additional treatments.”

Dr. Kennedy says that: "Dark circles under the eyes appear due to the loss of fat in the under-eye area. The loss of fat allows blood vessels to move closer to the skin and These vessels with their dark color and pigmentation easily appear through the very thin under-eye skin. Any treatment that enhances the thickness of the undereye skin and decreases the pigmentation in the blood vessels, will provide the best opportunity for decreasing the appearance of dark circles under the eye. Although chemical peels are very good at improving skin laxity and wrinkles, it is only 1 part of the equation for the treatment of dark under eye circles. At AEDIT we prefer the dual action treatment approach of lasers, such as the Stellar laser with Optilight handpiece. Lasers will BOTH increase the thickness of your under-eye skin and decrease the blood vessel pigmentation that lurks beneath to give you optimal results."

**Microneedling**

Similar to the effects of a chemical peel or laser treatment, Dr. Gruber says microneedling uses its needles to create a precise injury that encourages the skin to heal, boosting collagen production and cell turnover. “For under-eye concerns, microneedling can improve skin texture, boost firmness, and address mild pigmentation,” Dr. Gruber shares with The AEDITION. “Nonetheless, its impact on dark circles resulting from vascular concerns or fat displacement is somewhat restricted. It is frequently paired with PRP or topical serums to achieve even better outcomes.” 

**CO2 Laser**

CO2 lasers, also known as carboxytherapy, are excellent for tightening skin and minimizing wrinkles, particularly for rejuvenating the under-eye area. That being said, Dr. Gruber says there are a couple of important considerations: they can have increased downtime and also pose a greater risk of pigmentation changes, especially for those with darker skin tones. Like traditional lasers, they also can’t significantly improve hollowing or under-eye bags. 

**PRP**

Platelet-rich plasma (PRP) is a treatment using the patient’s own blood to promote healing. For the procedure, patients get their blood drawn as they would for a lab test, and then the plasma component is separated by centrifuge. When it comes to cosmetics, PRP is most commonly used for hair restoration and skin rejuvenation where it can enhance texture and volume. 

According to Dr. Gruber, PRP works exceptionally well at enhancing skin quality to improve dark circles and slight hollowness beneath the eyes but it is constrained when tackling under-eye bags that are a result of fat prolapse or significant volume loss.

**Lower blepharoplasty**

A lower blepharoplasty is the most effective route for patients looking to reduce the appearance of their under-eye bags. In the procedure, a board-certified surgeon will entirely remove the fat bags so patients shouldn’t have any under-eye puffiness moving forward. However, it’s important to note that it is a surgical procedure, so there is significant downtime and expenses. Dr. Levin says she often combines the procedure with a CO2 laser to improve the skin quality and sometimes with a fat transfer if there is also facial volume loss in the cheeks and /or midface.


Expert Opinion

If you’ve realized that under-eye fillers aren't your match, don't fret. We've consulted with leading plastic surgeons to bring you nine compelling alternatives for rejuvenating your under-eyes.

Invasive and Non-Invasive Alternatives to Under-Eye Filler

9 Alternatives to Under-eye Filler

shutterstock 1941572701

Spring2022 Products

In 2024, wellness gifts are having a moment. No longer limited to spa kits or scented candles, the new wave of wellness gifting is deeply personal, luxurious, and often transformative. From high-end skincare treatments to serene luxury spa retreats, giving the gift of wellness can be a powerful way to show someone you care. But in a space as personal as health and beauty, how do you ensure your gesture feels uplifting rather than intrusive?

To uncover the best wellness gifts and how to give them thoughtfully, we consulted with our very own industry leader: Dr. William Kennedy, founder of AEDIT His insight helps  us navigate this growing trend, offering expert advice on everything from versatile treatment options to the best recovery products and luxury spa getaways. This guide will ensure your wellness gift feels both meaningful and indulgent—without crossing personal boundaries.

### **1. Thoughtful Treatment Gifts for a Personal Touch**

If you’re considering gifting a wellness treatment, flexibility is key. Many clinics now offer gift cards or treatment-specific vouchers, allowing recipients to choose their ideal service. [Dr. William Kennedy](https://aedit.com/provider/william-kennedy-md-26292), founder of AEDIT & AEDIT Medspa (opening in Los Angeles in spring of 2025), highlights their versatility:

“A gift card offers a lot of flexibility for the consumer. They can purchase the gift card for any value and use it toward any service. AEDIT Medspa will also offer special holiday skincare gift sets, which are excellent holiday gift ideas for friends or coworkers.”

Treatments like [HydraFacials](https://aedit.com/procedure/hydrafacial) and [Emsculpt](https://aedit.com/procedure/emsculpt) body contouring remain popular choices. Dr. Kennedy adds:

“Medspa treatments can make thoughtful holiday gifts, especially those with little downtime that are ideally performed during the winter months when patients are typically exposed to less sunlight. The [HydraFacial](https://aedit.com/procedure/hydrafacial) treatment cleanses, exfoliates, and hydrates the skin, providing immediate glowing results with no downtime. [Emsculpt](https://aedit.com/procedure/emsculpt), a non-invasive body contouring procedure, is also an excellent gift choice for those wanting to tone their bodies without surgery.”

### **2. The Gift of Comfort: Products to Aid Post-Procedure Recovery**

For loved ones undergoing cosmetic procedures, recovery essentials can be thoughtful and practical gifts. Dr. Kennedy highlights two standout products:

“[Alastin Skin Nectar](https://alastin.com/products/regenerating-skin-nectar?srsltid=AfmBOorPV1IMe9o8BKatApP6gKK1FjcNOSCACmai2QAxiHKej_tWccTV) is a highly recommended recovery product. It strengthens skin before cosmetic treatments and accelerates healing afterward. It uses advanced peptides to promote collagen and elastin production while reducing inflammation. [Avène’s cicalfate cream](https://www.aveneusa.com/cicalfateplus-restorative-protective-cream?srsltid=AfmBOopLDp1l4if40UY3u-_uJEBfuA_VbMqoBgp9HpDku7PsSOAQY3xD#185=776) is another excellent option, rich in healing agents like copper and zinc, soothing post-treatment recovery and promoting skin barrier repair.”

Other comforting gifts include:

- **Silk Pillowcases and Eye Masks:** Silk is gentle on sensitive skin, helping reduce friction and irritation post-treatment. The gold standard is pure Mulberry silk, like [this one from Soft Strokes](https://www.wolfandbadger.com/eu/pure-mulberry-silk-eye-mask-set-of-two-in-burgundy/?utm_source=google&utm_medium=cpc&utm_campaign=18092301542&utm_content=&gad_source=1&gbraid=0AAAAADrNWmyLI0K1q-LdOgGtKqmIo5_E2&gclid=CjwKCAiAudG5BhAREiwAWMlSjDn9SsZ9t00oNYAV5gySjmfQq0BHl7orDYOCuXoiePUmwjgyUaZsrhoCWi8QAvD_BwE). Best of all, giftees can never have too many: you want to make sure you wash them often to avoid exposing your skin to unnecessary bacteria.
- **Cryotherapy Gel Masks:** Offering a cooling effect, these masks help reduce swelling and soothe skin. [111Skin’s Cryo range](https://111skin.com/collections/cryo) is available in a [gift set](https://111skin.com/products/energising-cryo-kit?pr_prod_strat=e5_desc&pr_rec_id=da7322ced&pr_rec_pid=8160097435801&pr_ref_pid=7544312201369&pr_seq=uniform) that is perfect for anyone who’s needed some down time recently, whether it’s while recovering from a procedure or from feeling those winter blues.
- **High-Quality Loungewear:** Breathable, soft loungewear is ideal for comfort during recovery and makes a luxurious, practical gift. The [Skims oversize co-ord range](https://skims.com/products/silk-oversized-long-sleep-set-mirror) is perfect for anyone looking for the perfect balance of comfort and style.


### **3. The Ultimate Wellness Gift: A Luxury Spa Vacation**

For an unforgettable gift, consider a luxury spa getaway. Dr. Kennedy advises gifting wellness experiences that celebrate beauty and self-care in a supportive way:

“Acknowledging a friend’s wellbeing is always a welcome gift. A thoughtful way to introduce medspa treatments to someone new is through a focus on healthy and beautiful skin. Expert providers at luxury spas can guide patients toward treatments uniquely suited to them during their appointment.”

### **Top luxury spa destinations include:**

**United States**

- [Cal-a-Vie Health Spa, California](https://www.cal-a-vie.com/?gad_source=1&gbraid=0AAAAA-aXg-atfjGewo9Ei0bYFqVvmwpP6&gclid=CjwKCAiAudG5BhAREiwAWMlSjFgLUvEP0jyFNweS-7g05_0O7-IbENDmvTNlspdvrK10S6-BoWlsdxoC-8oQAvD_BwE): Set amid vineyards, Cal-a-Vie offers personalized wellness plans, with holistic spa, fitness, and nutrition programs.
- [Calamigos Guest Ranch, California:](https://calamigosguestranch.com/) Located in Malibu’s Santa Monica Mountains, Calamigos Guest Ranch combines peaceful scenery with a variety of spa and wellness treatments, making it an ideal destination for relaxation.
- [Miraval Arizona Resort & Spa:](https://www.miravalresorts.com/arizona) This all-inclusive retreat offers diverse wellness programs focused on mindfulness, fitness, and therapeutic treatments.

**Canada**
- [Scandinave Spa, Whistler:](https://www.scandinave.com/whistler) Known for hydrotherapy, Scandinave Spa immerses guests in nature with hot and cold pools, saunas, and tranquil forest views.
- [The Spa at Four Seasons Toronto:](https://www.fourseasons.com/toronto/spa/) A serene urban oasis, this spa specializes in treatments that focus on relaxation and skin health.
- [Fairmont Banff Springs, Alberta:](https://www.fairmont.com/banff-springs/) Situated in the Rockies, this spa blends stunning mountain views with luxurious treatments, offering a perfect setting for a wellness getaway.

**Europe**

- [Le Domaine des Etangs, France:](https://fr.aubergeresorts.com/domainedesetangs/) Located in the Charente region, this estate combines natural beauty with bespoke wellness experiences, including world-class treatments and serene outdoor spaces.
- [QC Terme Montebianco, Italy:](https://www.qcterme.com/fr/pre-saint-didier/qc-termemontebianco) Situated in the Italian Alps, this spa features thermal pools with stunning mountain views, offering a mix of relaxation and adventure.
- [SHA Wellness Clinic, Spain:](https://shawellness.com/en/) SHA is known for its medically supervised wellness programs, focusing on detox, fitness, and anti-aging.

### **A Final Note on Gifting Wellness**

When giving wellness gifts, personalization and tact are essential. A thoughtful approach ensures your gesture feels uplifting rather than intrusive. Dr. Kennedy,  emphasizes the value of flexibility in wellness gifting:

“Gift cards offer recipients the freedom to explore treatments suited to their unique needs. By allowing them to choose, you're not just giving a service—you're providing a tailored, transformative experience.”

Whether gifting a treatment, a product, or a luxurious spa stay, a wellness gift allows loved ones to prioritize their well-being in a way that feels meaningful. By providing options that balance flexibility, comfort, and a touch of luxury, you’re giving a thoughtful experience that they can savor and make their own.


2024’s Hottest Wellness Gifts (and How to Gift Them Tactfully)

2024 Wellness Gift Guide

Julia Avamotive via unsplash

Ross Helen via Canva

According to the most recent[ American Society of Plastic Surgeons (ASPS)](https://www.plasticsurgery.org/documents/news/statistics/2023/minimally-invasive-procedure-trends-2023.pdf) data (and some rough math), someone is undergoing a filler treatment nearly every five seconds. This past year, doctors recorded over [six million ](https://www.plasticsurgery.org/documents/news/statistics/2023/minimally-invasive-procedure-trends-2023.pdf)treatments of dermal filler, making it the second most popular minimally invasive cosmetic treatment — after Botox, of course. But, lately, we’ve been hearing some pretty mixed reviews of the omnipresent treatment. Most commonly, we’ve heard rumblings that filler can “migrate” or move after it’s been injected. We’ve also heard horror stories that it might not [dissolve](https://www.newsweek.com/mri-scan-33-year-old-woman-face-shows-filler-ended-surgery-1925089) or can even make your face puffy. Given it’s almost as widespread as Botox, we all agreed that we needed answers. Stat. So, we reached out to our network of experts to find out if filler migration is a myth or fact.

## **Why is Everyone Talking About Filler Migration Now?**

If you feel like the term “filler migration” just popped up overnight, it’s not just you. It kind of did. Over the summer, a Beverly Hills oculoplastic surgeon posted a [video](https://www.tiktok.com/@kamiparsamd/video/7390433025697533230) to TikTok sharing the findings of an MRI scan of facial filler… and the internet went absolutely wild. The patient, a 33-year-old woman, reported she had 12 CCs of hyaluronic filler over the past six years, yet the scan showed that there was over double that amount of facial filler present under her skin, and in places she hadn’t even been injected. The video’s comment section became flooded with similar stories of having never-dissolving filler, which contradicts everything we’ve been told about filler.

Until now, we’ve been, we’ve always been under the impression that fillers are not permanent. If you ask any doctor, they’ll most likely give you a similar answer: HA-based fillers typically last anywhere from six months to a year and a half whereas non-HA-based fillers last a minimum of two years. It’s hard to predict exactly how long a filler will stay in someone’s body, but board-certified NYC cosmetic dermatologist [Dr. Michele Green](https://www.michelegreenmd.com/) says the longevity of any filler can also be affected by the patient’s skin characteristics, metabolism, and lifestyle choices.

“Low skin elasticity makes it hard for the skin to hold a filler, leading to a shorter length of results. Fast metabolisms can lead to quicker degradation of a filler. Excess sun exposure can break down collagen fibers, leading to reduced longevity of a filler,” she tells us.

## **What is “Filler Migration” and Can it Really Happen?**

Though it’s an uncommon side effect, our expert network confirmed that it’s not just a myth — filler migration does exist. For several reasons (we’ll get to that later on), it is possible for the injected filler to move from its injection site to another area of the face. But, to be clear, we’re talking about movement in millimeters, not anything drastic. 

“Filler migration is not a common side effect of dermal filler injection procedures,” NYC-based board-certified dermatologist [Brendan Camp, MD](https://aedit.com/provider/brendan-camp-md-34645) assures us. “It may be more likely to occur when someone gets filler treatments often in which a high volume of filler is used over time and is layered on previously injected filler.”

So, if you notice lingering asymmetry, lumps, unevenness, or puffiness after getting filler, then there’s a good chance it could be the infamous “filler migration.” According to Dr. Green, the dreaded filler migration can occur anywhere, but it most commonly presents itself in areas with thin skin, like the lips and tear troughs (under the eyes). While the onset of filler migration varies, Dr. Camp says it usually happens within days of the treatment if the injection was too superficial or within months as the filler is metabolized and its structure is altered.

But, again, remember that it’s not that common. 

## **What causes Filler Migration?**

While we can’t control whether or not our filler migrates, there are a few things to stack the odds in our favor. Dr. Green says that the most common causes of filler migration are overfilling, incorrect injection technique, and using the wrong filler. 

Dr. Green breaks it down for us: “too much filler in an area can cause a pressure imbalance, resulting in the filler migrating towards adjacent tissues. Inadequate injection techniques, such as injecting too close to the surface or using excessive pressure, can also lead to filler migration. Additionally, there are many different types of fillers on the market, all with varying concentrations and formulations. Using a filler that is not suited for the injected area can result in filler displacement.”

While any filler can result in filler migration, Dr. Camp and Dr. Green both said that non-HA-based fillers are less likely to migrate compared to HA-based fillers. This is because they promote new collagen production, which reduces the risk of migration.

And, Dr. Camp warns that HA-based fillers can expand after treatment because the filler is not saturated with water in the syringe. As a result, the HA molecule attracts and retains water and can cause additional swelling after it has been placed in the skin.

## **Can You Remove Filler?**

There’s a good chance you’ve heard conflicting answers to whether or not filler can be removed — and, that’s because some types of filler can be dissolved whereas other types can’t be. According to the experts, HA fillers can be dissolved whereas non-HA fillers can’t.

HA-based fillers can fortunately be dissolved with an agent called hyaluronidase, which is a naturally occurring enzyme that breaks down hyaluronic acid into its smaller components. Once injected into the area of filler migration, hyaluronidase acts immediately, with results visible after just 48 hours, says Dr. Green.

Unfortunately, there’s still no technology to dissolve or remove non-HA filler. The only solution is time and, depending on the type of filler used, patients may have to wait several months or years. That being said, Dr. Green said there are certain circumstances where a plastic surgeon might help, like if a granuloma has formed and can be excised. 

## **The Bottom Line**

Filler migration does exist, but it shouldn’t hold you back.  While the issue isn’t black and white, there are always ways to mitigate risk, most importantly by selecting the right injector. Seeking treatment from a board-certified physician who has the knowledge to choose the right type of filler for you and inject it properly is the safest way to ensure you are getting ideal results. 


Filler migration, are all users at risk? 

The risk of Dermal Filler migration. What to know from the medical experts. 

Filler Migration: Should You Be Worried? Experts Weigh In

cottonbro-studio-pexels

If you thought skincare couldn’t get more innovative, think again. From snail slime to bee venom, scientists are constantly exploring new frontiers in skincare. Now, there's a new player in town: polynucleotides. Derived from an unexpected source—salmon sperm—this skincare treatment is making waves, particularly in the UK, where it has seen a surge in popularity. But what exactly are polynucleotides, how are they used, and is this trend something you should consider adding to your beauty routine?

## **When Did the Treatment First Become Popular?**

Although it sounds cutting-edge, the use of polynucleotides in skincare isn’t entirely new. Polynucleotide-based treatments have been quietly gaining traction in Asia for several years, particularly in South Korea and Japan, where cutting-edge beauty innovations frequently originate. However, it was only recently that the treatment gained widespread attention in the UK and Europe. Social media influencers and beauty bloggers have played a significant role in this surge, documenting their experiences with the treatment and swearing by its skin rejuvenation properties. As with many beauty trends, the treatment's celebrity endorsements have amplified its popularity, making it the latest must-try in advanced skincare. Over recent months, the treatment has been making its way into dermatologists’ offices across the US, with skincare enthusiasts hailing it as the latest must-have addition for youthful skin. 

## **What Are Polynucleotides?**

At the core of this buzz is a molecule known as polynucleotides, which, in scientific terms, are made up of DNA or RNA chains. In simpler terms, these molecules provide essential support to your skin at the cellular level. [Dr. Saami Khalifian](https://www.drsaami.com/), a board-certified dermatologist from SOM Aesthetics, explains, “Polynucleotides are beneficial for the skin because they promote hydration, reduce inflammation, and support the skin's natural repair mechanisms.” This makes them a gold mine for anyone looking to improve skin elasticity, reduce fine lines, or combat dullness.

The fact that these molecules are derived from salmon sperm might sound off-putting at first, but it’s worth noting that they’ve undergone extensive purification processes to isolate the beneficial components. Much like how collagen supplements are sourced from animal byproducts, polynucleotides are a valuable tool in the skincare arsenal, offering scientifically backed benefits that translate into smoother, more youthful-looking skin — without a fishy smell in sight!

## **What Does the Treatment Entail?**

So, what does undergoing a polynucleotide treatment actually look like? Thankfully, the process is non-invasive. It typically involves the application of a serum or gel enriched with these molecules. Think of it as a supercharged facial, where the polynucleotides penetrate deep into the skin, delivering a surge of hydration and nutrients.

Unlike treatments that require recovery time, polynucleotide facials are quick, painless, and involve zero downtime. It’s often compared to a deep-conditioning treatment, but for your skin. According to [Dr. Khalifian](https://www.drsaami.com/), “The procedure is akin to a deep conditioning treatment for the skin, providing essential nutrients and hydration without the need for invasive methods or lengthy recovery.” This means you can easily fit it into a lunch break and go about your day with glowing, rejuvenated skin.

## **Who Is a Candidate for This Treatment?**

The beauty of polynucleotide treatments is that they’re suitable for a wide range of people. Whether you’re in your 20s and looking to stave off early signs of aging or in your 40s wanting to restore elasticity and smoothness, this treatment can cater to various skin needs. It’s particularly effective for those dealing with dryness, dullness, or fine lines, helping to revitalize tired-looking skin.

However, as with all cosmetic treatments, there are some caveats. Pregnant individuals, for example, should avoid this treatment due to the lack of studies on its safety during pregnancy. Likewise, anyone with specific allergies to the components of the treatment should steer clear. A consultation with a board-certified dermatologist is always recommended to ensure the treatment is right for your skin.

## **How Long Do the Results Last?**

One of the most common questions surrounding polynucleotide therapy is the longevity of its results. Unlike more temporary treatments, the effects of polynucleotide facials tend to last for several months. Factors such as your skin type, environmental exposures, and how well you maintain your skincare regimen can all play a role in how long the glow sticks around.

[Dr. Khalifian](https://www.drsaami.com/) notes that “consistent treatment and proper skincare can help prolong the effects.” While the treatment provides immediate hydration and a noticeable glow, it’s the long-term benefits—smoother, firmer skin—that keep clients coming back. Typically, a full treatment plan involves several sessions over the course of a few months, with each session building upon the last for lasting results.

## **What Is the Average Cost?**

If you're considering adding this trending treatment to your beauty routine, it's important to know the financial commitment involved. The cost of polynucleotide therapy can vary depending on where you go, but you can generally expect to pay between $200 and $500 per session. A complete treatment plan, which may involve multiple sessions, can increase the overall cost, but many clinics offer packages to help make the process more affordable.

In terms of value, the benefits of polynucleotide treatments—such as lasting hydration and the stimulation of your skin’s natural repair mechanisms—make it a more sustainable investment compared to quick fixes like superficial facials. While the initial outlay might seem steep, the long-lasting results could outweigh the need for more frequent, lower-cost treatments.

## **Where Can You Get This Treatment?**

Currently, polynucleotide facials are primarily offered at medspas, dermatology clinics, and plastic surgery centers. As the treatment gains traction, more providers are beginning to include it in their service offerings.

In the U.S., the treatment is still in its early stages of popularity, but as word spreads and more clinics adopt the technique, it’s likely only a matter of time before it becomes as ubiquitous as microneedling or chemical peels. For now, you may have to do a bit of research to find a clinic in your area that offers polynucleotide therapy, but rest assured that it’s an option well worth considering if you’re serious about upgrading your skincare routine.

## **Is the Salmon Sperm Facial Worth the Hype?**

At first glance, the idea of applying salmon sperm to your face might seem bizarre, but the science behind polynucleotides and their skin-rejuvenating properties is hard to argue with. From enhanced hydration to smoother, more resilient skin, this treatment offers a range of benefits that go beyond what many conventional facials can provide.

If you’re curious about trying the latest in skincare innovation and are willing to make an investment in your skin, polynucleotide therapy might just be worth the hype. With growing popularity and increasing availability, the salmon sperm facial could soon become a staple in advanced beauty treatments across the globe.


Overview of polynucleotides and why the "salmon sperm" facial is the new trending treatment in skincare.

Everything you need to know about the salmon sperm facial.

The Salmon Sperm Facial: What Are Polynucleotides, and Is This Trending Skincare Treatment Worth All the Hype?

EMFACE

A treatment with no needles, no downtime, and with sessions that take less time than a mani / pedi… count us in. EMFACE is a new, non-invasive facial rejuvenation treatment by BTL (most famous for EMSCULPT) that everyone in the skincare world has been buzzing about. The innovative device, which was FDA-approved in 2022, uses a combination of high-intensity focused electrical stimulation (HIFES) and synchronized radiofrequency (RF). The HIFES acts as a “facial workout” that tones and lifts the facial muscles while the RF heats the skin and stimulates collagen and elastin production. 

Doctors are particularly excited about this new technology because it addresses two of the most common signs of aging: facial volume loss and wrinkles. “It is exciting because it targets the facial muscles and helps tone, tighten, and build muscle for a more youthful-looking appearance,” says [David Shafer, MD](https://aedit.com/provider/david-shafer-md-153 "David Shafer, MD"), a double board-certified plastic and reconstructive surgeon and founder of Shafer Clinic in New York City.  

So, how exactly does EMFACE work and does it really live up to all of the hype? Read on. 

## What does the treatment entail?
Getting EMFACE could not be easier; the treatment takes a little over 20 minutes and virtually has no downtime. The only “downside” (and we put that in quotes because it’s really not that big of a deal) is that, in order to get optimized results, the treatment calls for four sessions that are scheduled about a week apart. 

Before getting the EMFACE treatment, your provider will take about 10 minutes to prep your skin and the equipment. First, they’ll wipe your face with an alcohol cleanser to help the sticky pads adhere properly. From there, they’ll place a grounding pad on your upper back, which attaches to the machine and is responsible for safely channeling the energy to the facial pads. As a last step, they’ll place three pads on your face: one on your forehead and one on each of your cheeks. Now, you’re ready to go. Your provider will turn the machine on and it’ll start to work its magic; for the next 20 minutes, the pads will send signals that contract the facial muscles, making you involuntarily smile and twitch. You may feel a little bit of heat from the RF and a tickling sensation from the HIFES, but most people report that it is a fairly comfortable treatment. 

While the actual EMFACE session is quite quick, it’s important to note that it can take time before you see a noticeable difference. Dr. Shafer says you can expect peak results around one to three months post-treatment. It’s also worth mentioning that you’ll likely need to go in for maintenance sessions a few times a year after those four initial treatments.

## How does EMFACE compare to other facial rejuvenation treatments?
While EMFACE uses unmatched technology, experts say its best used in combination with other rejuvenation treatments. For instance, Santa Monica based Board-Certified Dermatologist [Dr. Ava Shamban, MD](https://aedit.com/provider/ava-shamban-md-2325), views EMFACE as complementary to treatments like Botox and filler. Since Botox and other neuromodulators work by relaxing the muscles that pull down the skin, Dr. Shamban says that ideally, a patient would have a neuromodulator treatment first, followed by an Emface treatment. 

Compared to filler, Dr. Shamban says EMFACE is completely different. “Emface can give a mild lift to fat pads that overly the muscles that are lifting, but it doesn’t address lip volume or cheek volume changes. It can improve facial contour and appearance of the jawline,” she tells us.

The same goes for Ultherapy, another non-invasive rejuvenation treatment; the two procedures treat different signs of aging. According to Dr. Shafer, Ultherapy tightens tissue by targeting loose or saggy skin whereas EMFACE lifts and tones the underlying muscle through muscle stimulation. 

And, in case you were wondering, while EMFACE is a total game-changer, it’s not going to replace a facelift… sorry! With the current technology, sadly no non-invasive treatment can deliver comparable results. That being said, you can combine EMFACE with other in-office treatments to achieve results that have never been possible until now.

## Bottom line: is EMFACE worth it?
EMFACE is a great option for those who are needle-phobic, are too young for injectables, or who want efficacious but natural-looking results. Since the treatment doesn’t have any downtime, Dr. Shafer says it’s particularly attractive for his patients looking for pain-free quick solutions with subtle results. 

Aside from its price point, the biggest limitation to EMFACE is that you can’t have metal plates or implants in your mouth, since it can interfere with the energy currents. But, as always, it’s best to discuss with your board-certified dermatologist to see if EMFACE is a good fit for you. 

For those who aren’t getting the desired results from their existing skincare treatments or find that needles are a barrier, EMFACE could be a great fit for them -- if their budget allows. Depending on the provider and location, the treatment costs around $4,000 for four sessions. 

With all of the buzz around this new treatment, we’re sure that EMFACE delivers, but stay tuned for my first-hand perspective as I meet with Dr. Shafer and his team at the Shafer Clinic over the next month!



Everything You Need to Know About EMFACE

Cherry Deck | Unsplash

In a world where anti-aging skincare trends change each season, it can be really tough to keep up with the newest ‘it’ ingredients - and even tougher to know if there’s any merit to including them in your daily routine. One of these buzz-worthy ingredients are neuropeptides: small chains of amino acids are responsible for acting as chemical messengers that can reportedly reduce signs of aging without the need for injectables. But the real question is, do they really work? We’ve spoken to dermatologists Dr. Marisa Garshick [Dr. Marisa Garshick](https://aedit.com/provider/marisa-garshick-md-313) and Dr. Amy Spizuoco [Dr. Amy Spizuoco](https://aedit.com/provider/amy-spizuoco-19341)and Dr. William A. Kennedy III  to get the inside track on neuropeptides in skincare.


### **What are neuropeptides?**

“Neuropeptides are an innovative skincare ingredient due to their unique ability to interact with the skin at a cellular level, offering a range of potential benefits” says Dr. Kennedy.  From enhancing overall skin health and functionality, to promoting collagen synthesis and enhancing the skin's barrier function, vital for retaining moisture and protecting against environmental stressors neuropeptides have a dramatic effect on promoting healthy looking skin” Dr. Kennedy explains.  “Neuropeptides are a topical treatment that can sometimes be called ‘Nature's Botox’” Dr. Spizuoco explains. “They are a topical treatment that can help reduce wrinkles, inflammation, and promote younger-looking skin.” These protein-like molecules, that can give various signals to your body. In skincare, “they provide a signal to the body that an action needs to take place. In the case of neuropeptides, the peptides block the release of chemicals that are responsible for muscle movement that leads to fine lines and wrinkles,” Dr. Garshick tells us. Indeed, research carried out by scientists at Granada University suggests that certain neuropeptides may reduce the appearance of common signs of aging by targeting specific cellular processes. 

### **Where do neuropeptides get their names from?** 

The naming of neuropeptides can be confusing, so finding them in skincare labeling certainly isn’t always straightforward! While their scientific name is generally made up of the sequence of different amino acids that it is composed of, many of the most effective peptides that have been discovered are not marketed under brand names. For example, hexapeptide-8, one of the most frequently used neuropeptides in skincare, is marketed under the brand name Argireline®.

### **Which neuropeptide skincare formulations are most effective?** 

“As with many skincare products, serums tend to be most effective as serums often have a higher concentration of the active ingredient and may offer better penetration. Neuropeptides may also be combined with certain other ingredients like hydrating ingredients such as hyaluronic acid or glycerin to help plump the skin as well as other peptides that can help to firm the skin,” Dr. Gashick told us. When you’re shopping for skincare, look for products that include one of multiple of the following neuropeptides in their ingredient list:

- **Acetyl hexapeptide-8:** marketed under the brand name Argireline® is a synthetic peptide that is believed to work by inhibiting the release of neurotransmitters called catecholamines. It is understood that by blocking catecholamines Argireline may help reduce the appearance of fine lines that are associated with frequent repetitive movements such as crows feet or frown lines.

- **Matrixyl 3000:** the peptide is understood to work by gradually slowing down the glycation process, where sugars reduce the quality of the dermis (the second layer of the three-layer system that makes up your skin). The neuropeptide has also been found to reduce muscle contractions that lead to fine lines.

- **Palmitoyl Tripeptide-1 (Pal-GHK):** aka Matrixyl 3000, is used in plumping anti-aging products, the peptide “stimulates collagen production and improves skin elasticity” [Dr. Spizuoco](https://aedit.com/provider/amy-spizuoco-19341) tells us. 

- **Palmitoyl Tetrapeptide-7 (Pal-GQPR):** “reduces inflammation and supports skin’s firmness and elasticity”, [Dr. Spizuoco](https://aedit.com/provider/amy-spizuoco-19341) explains. You can generally find it in serums alongside other active ingredients that have been curated to reduce signs of aging.

- **Pentapeptides:** these peptides actually have five amino acids, and they can help improve the appearance of skin by boosting moisture absorption. They are often associated with hydrating ingredients to help maintain the healthy, youthful glow that we all seek. 

- **SNAP-8:** this elongation of acetyl hexapeptide-8 is reportedly up to 30% more effective than its predecessor.

### **What skin concerns can neuropeptides address?**

The primary benefit of adding neuropeptides to your skincare routine is addressing signs of aging at their root cause. By sending messages to the muscles that contract and accentuate fine lines, peptides are an excellent ally in fighting wrinkles. They could be of particular interest to those who are sensitive to retinol but who still want to take steps to prevent early signs of aging. [Dr. Garshick](https://aedit.com/provider/marisa-garshick-md-313) explains: “Neuropeptides may be used as an alternative to retinol to help improve the appearance of fine lines and wrinkles in someone unable to tolerate retinol, even in their 20s and 30s.” But patients with more advanced signs of aging could still benefit from using them too, she says. “They can also be incorporated as individuals get older and lines may become deeper to help make the lines appear softer and smoother.”

### **What is the difference between neuropeptides and neuromodulators?**

If you’re looking into antiaging skincare, chances are you have probably come across both terms. While they sound similar, their mechanisms are quite different. Neuromodulators ([Botox®](https://aedit.com/procedure/botox), [Dysport®](https://aedit.com/procedure/dysportr), [Daxxify®](https://www.daxxify.com/), etc.) are injectables that work by blocking certain signals that allow muscles to contract. The mechanism is similar, though not the same, for neuropeptides. “Neuropeptides are peptides that are released as chemical messengers from nerve cells,” [Dr. Spizuoco](https://aedit.com/provider/amy-spizuoco-19341) explained. “They act either in an endocrine manner, where they reach their target cells via the bloodstream, or a paracrine manner, as co-transmitters modulating the function of neurotransmitters”, she added. Neuropeptides are incorporated into topical skincare products to have a similar result as injectables, but the results aren’t as pronounced or as long-lasting. “Neuropeptides offer a great option for someone who isn’t yet ready for injectables or prefers to avoid injectables,” says [Dr. Garshick](https://aedit.com/provider/marisa-garshick-md-313). “While they will not deliver the same results as neuromodulators like Botox, they can be a good option and can be helpful to reduce the appearance of fine lines and wrinkles. Neuropeptides also have a role to be used in conjunction with neuromodulators as a complementary treatment and may be considered a form of maintenance,” she added. Says Dr. Kennedy, “while both neuropeptides and neuromodulators play crucial roles in the nervous system, neuropeptides are more specialized in direct neural communication and specific responses, whereas neuromodulators broadly adjust neural activity and functional states.”


### **In brief**

Neuropeptides offer an exciting new type of skincare science, with the potential to revitalize rejuvenation skincare routines. As with any update to your skincare routine, it's absolutely essential to approach neuropeptides with a touch of caution by slowly introducing them to your routine. If you have sensitive skin or skin that is prone to acne or other issues, it’s always best to check in with your dermatologist to make sure the products you’re considering adding will work with your current regimen. If your skin gets on well with them, neuropeptides may well be the skincare ingredient you’ve been searching for all along.


Beauty

Neuropeptides are gaining popularity in skincare for their potential anti-aging benefits. These small chains of amino acids serve as chemical messengers and reportedly reduce signs of aging without invasive procedures. But are they truly effective?

What Are Neuropeptides, and Do You Need to Add Them to Your Skincare Routine?

Thought Catalog | Unsplash

When it comes to skincare routines, most people have it covered. Whether it’s a simple cleanse and moisturize or a complex 10-step routine, our faces have never been as pampered as they are today. But your skin doesn’t stop when it reaches your hairline - so, does your scalp need a skincare routine too? And if so, what should that look like? We’ve spoken to New York-based dermatologists [Dr. Marisa Garshick](https://aedit.com/provider/marisa-garshick-md-313) and [Dr. Amy Spizuoco](https://aedit.com/provider/amy-spizuoco-19341) and board-certified Head & Neck Surgeon and Facial Plastic Surgeon, [Dr. William A. Kennedy](https://aedit.com/provider/william-kennedy-md-26292) to find out everything you need to know about scalp skincare routines - and what a healthy scalp-care routine should look like.

### **What makes the skin on your scalp different?**

Before delving into the merits of having a scalp care routine, let’s start by looking at what makes the skin on your scalp special, and what that means for how you should be taking care of it. While the scalp is an extension of the skin on our bodies, it also acts as a base for thousands of hair follicles and glands. These unique conditions mean that traditional skincare products won’t be the right fit for your scalp.”The weather, stress, age, and scalp-stripping hair products can all trigger irritation and dryness that present as tiny flakes. Hydrating shampoos and conditioners made with humectant ingredients like aloe or glycerin will help the scalp retain its much-needed moisture,” Dr. Spizuoco explains.

### **What are the benefits of caring for your scalp?** 

Caring for your scalp offers numerous benefits beyond just looking after your skin. Scalp care promotes hair growth by providing a healthy environment in which your hair follicles will thrive, while also preventing common issues like dandruff and excess oiliness. Massaging your scalp can improve circulation, reducing stress and promoting relaxation. Additionally, scalp care supports overall skin health, protecting against environmental damage and premature aging.  Just as aging skin on other parts of your body lose moisture, older scalp hair follicles also lose nutrients and moisture and this causes your hair to lose its luxurious, youthful appearance, [Dr. Kennedy](https://aedit.com/provider/william-kennedy-md-26292) tells us. 

### **How many steps should you include in a scalp skincare routine?**

Scalp care doesn’t need to be complicated, [Dr. Garshick](https://aedit.com/provider/marisa-garshick-md-313) tells us: “In general, at a minimum caring for your scalp should include proper cleansing with a shampoo to remove buildup without drying out the scalp.” But for some people, a more complex routine could be advisable: “Exfoliating can be helpful to get rid of dead skin cells and in other cases, properly nourishing the scalp and moisturizing the scalp may be needed.” Generally speaking, approaching scalp care as you would skincare is advisable, adjusting the steps you include depending on specific concerns or goals. ”Some scalp ingredients can be too harsh to be on facial skin,” [Dr. Spizuoco](https://aedit.com/provider/amy-spizuoco-19341) points out, so be sure to use specific products for your face and scalp.  [Dr. Kennedy](https://aedit.com/provider/william-kennedy-md-26292) says not to forget that scalp care is skin care; and everyones skin care should include a healthy mix of nondrying cleaning exfoliation, moisturizing, and frequent gentle massage to encourage blood flow and hair follicle nutrition 

### **Which steps should be included in a scalp care routine?**

Much like skincare, scalp care routines can be adjusted over time as the condition of your skin evolves. Dr. Spizuoco shared her ideal scalp care routine with us:

- **Start with a pre-shampoo treatment:** these oils, balms, and butters target specific scalp and hair concerns. They are typically applied 10-15 minutes before you shower to allow them time to get to work on your scalp.

- **Use an exfoliating shampoo:** this step is probably the most straightforward to add to your routine simply by switching out your regular shampoo for something kinder to your scalp. To take your scalp cleanse to the next level, look for a shampoo with skincare ingredients such as salicylic acid which helps control the production of sebum which can make your skin and hair appear oily.

- **Give your scalp a massage:** use your fingers or a scalp massaging tool to gently massage your skin. Starting at your forehead, massage in small circular motions, and gradually move toward the crown and back of your head. If your hair isn’t too knotted, you can then firmly comb your fingers along your scalp.


- **Keep your scalp soothed & hydrated:** apply a spray or leave-in scalp serum to keep the skin on your scalp calm and happy until your next hair wash.


### **What does an ideal scalp care shelf look like?**
Now that we’ve gone over the steps you might want to include, [Dr. Garshick](https://aedit.com/provider/marisa-garshick-md-313) talks us through what a great scalp care shelf would look like for most people: 

- **Pre-wash Treatment:** Biolage Scalp Sync Purifying Concentrate - intended for use before shampooing, this scalp concentrate helps to remove the buildup of excess oil and dead skin cells using glycolic acid and fermented tea extract. 

- **Shampoo:** “When it comes to shampoo the frequency may vary based on hair and scalp type as those with oily hair may prefer to wash their hair every day or every other day while those with dry scalp or hair may prefer to wash less often.” She recommends Dove Hair Therapy Dry Scalp Care Shampoo: “this sulfate-free shampoo helps to nourish the scalp and minimizes dryness. It is formulated with vitamin B3 which helps to calm the scalp leaving the hair and scalp looking healthy and refreshed.”

- **Scalp treatment:** “For scalp treatments, some are meant to be applied before shampooing, while others may be applied to a clean scalp after shampooing and then rinsed out and others left in for a period of time.” One of her recommended treatments is Briogeo Don’t Despair, Repair Conditioner - “This nourishing conditioner, while should be focused on the hair, can help to nourish, soften and smooth the hair while also minimizing the potential for breakage,” she told us. “It incorporates conditioning ingredients such as algae extract, panthenol, and rosehip oil.”

- **Leave In:** Lastly, a leave-in product:” Dove Scalp + Hair Therapy Density Boost Serum” is recommended by [Dr. Garshick](https://aedit.com/provider/marisa-garshick-md-313). She explained: “This leave-in serum has been shown to improve overall hair density with 90 days of use while also helping to moisturize the scalp and strengthen the roots. It contains niacinamide, peptides, glycerin, and zinc gluconate which helps to prevent hair shedding and strengthen the hair.”


### **How frequently should you use a skincare routine for your scalp?**

Less is often more when it comes to scalp care, beyond cleansing daily or every other day, a more involved scalp care routine should only be practiced once or twice a week, unless your dermatologist or trichologist has advised otherwise of course. [Dr. Garshick](https://aedit.com/provider/marisa-garshick-md-313) told us “In general, exfoliation or deep conditioning treatments may only be needed 1-2 times per week or even just a few times per month depending on the specific treatment that is needed. For those with a very dry scalp, it can help to do a deep conditioning treatment once per week or once every other week, while for those with oily scalp or a lot of dandruff or buildup, using an exfoliating treatment 1-2 times per week can be helpful.”

### **In brief**

Most people already have a scalp care routine of sorts simply by cleansing their hair multiple times a week. And while, in some cases, that may be just enough, sometimes your scalp needs a little TLC too. By adding a few steps to your routine you can keep your scalp healthy, hydrated, and flake-free to help give your hair the best chance at feeling and looking great. While there’s generally no need to add several steps to your everyday scalp care routine, having a more in-depth routine a couple of times each week could help your scalp skin in the long run.


Do you need a skincare routine for your scalp

Do You Need A Skincare Routine For Your Scalp?

Trinh Georg | Gloweva 

If there’s one thing we know, it’s that chasing the fountain of youth isn’t for the faint of heart — Botox and dermal fillers come with needles, chemical peels and lasers come with redness and swelling, and facelifts come with significant recovery and downtime. These treatments are all tried-and-true, but they require commitment, time, and, not to mention, significant investment. But, lately, we’ve been seeing a natural Botox substitute all over our FYP that has us totally intrigued. With TikTok creators swearing by facial massage and showing off their wrinkle-free foreheads and sculpted faces to prove it, we can’t stop wondering if it’s the long-awaited answer to our prayers. To get to the bottom line, we tapped into our expert network including Santa Monica based Board-Certified Dermatologist [Dr. Ava Shamban, MD](https://aedit.com/provider/ava-shamban-md-2325) and [Trinh Georg](https://www.instagram.com/trinhgeorgg), the founder of [Gloweva](https://www.gloweva.com/), who has amassed over 700k followers on social media with her facial exercise tutorials. Read below to find out if we should be saying “namaste” to face yoga.

### ***What is Facial Massage?***

If you thought a ‘facial massage’ was a cross between a facial and a massage, you’re not alone. While a facial massage can be relaxing and does improve the skin, its main goals are to improve face shape and combat aging. Depending on the technique, some prefer to massage with fingers while others swear by using a handheld tool, like a gua sha. In addition to the massage, a lot of people will couple the treatment with facial exercises (aka ‘facercise’) as another organic way to help lift and sculpt the face and neck.

### ***Benefits of Facial Exercise***

**Facial massage offers several benefits:**


- **Improved circulation and oxygenation:** moves nutrition into the skin cells and temporarily reduces inflammation and puffiness while giving a fresh glow

- **Lymphatic drainage:** moves toxins through the system, which can give an instant contour

- **Relaxation of facial muscles:** reduce tension and stress lines

- **Stimulate collagen production:** produces firmer, more youthful-looking skin

### **Popular types of Facial Massage + Exercise:**

- **Buccal facial:** A [buccal massage ](https://www.instagram.com/p/C5mwdr0r5hA/)is a sculpting technique that is performed by massaging the muscles inside the mouth with the fingers. Buccal massage involves pressure points to stimulate muscles and ligaments between cheeks and jowl area to release ligaments and stimulate muscles, says Dr. [Ava Shamban, MD](https://aedit.com/provider/ava-shamban-md-2325), a board-certified dermatologist in Santa Monica, CA. 

- **Gua sha:** Unlike most facial exercises which rely on the hands and fingers, gua sha uses a heart-shaped stone tool that stems from traditional Chinese medicine. Dr. Shamban says that using the smooth, contoured stone in a rhythmic scraping motion is more effective in drainage circulation. 

- **Facial yoga:** This practice includes a set of facial exercises and stretches to counteract the effects of aging. Natural beauty influencer, [Trinh Georg](https://www.instagram.com/trinhgeorgg/) says that by focusing on proper form and engaging the targeted facial muscles with intention, you can effectively build strength and tone, resulting in noticeable improvements in facial appearance and overall wellness.

- **Face tape**: Applying face tape each night is supposed to help lift sagging skin, increase circulation, and release muscle tension.


When it comes to deciding what type of facial massage and exercises are best for you, it depends on your goals combined with a bit of trial and error. For example, Georg says you can massage along the jawline to reduce tension and define it or you can massage around the eyes, in moderation, to reduce puffiness and dark circles. 

### **Getting Started with Facial Massage**

For those looking to get started with facial massage, Trinh recommends focusing on gentle, upward strokes using your fingertips, a gua sha, or a facial roller to release muscle tension and promote lymphatic drainage. Start from the center of your face and work outward, paying extra attention to areas of concern such as the jawline, cheeks, forehead, and neck. This will help reduce facial puffiness and promote a more sculpted appearance.

“Anyone can benefit from facial massage, but it's particularly beneficial for those looking to reduce signs of aging, improve skin tone and texture, or alleviate tension in the facial muscles,” says Trinh. 

But, remember that consistency is key. “If you stop doing facial massage, you may notice a gradual decrease in the benefits you've gained. It's best to maintain a consistent routine to sustain the results you've achieved,” Trinh advises. Luckily, she says you can still get results even if you practice just a few minutes each day. Depending on the person, you can see noticeable improvements in skin tone and texture as early as two weeks.

### **Our Take**

**Katie, Director of Operations**

I have been a believer and user of gua sha for some time now and find it tremendously effective for keeping my face feeling slim. While the overall presentation of my face is dependent on multiple factors; what I’m eating that week, how much I’m working out, and how many days I’m doing the facial massage, I still see it as worthwhile and an integral part of my routine. I tend to suffer from fluctuations in cheek volume, especially when I’m not feeling the healthiest and it is a major insecurity. Since starting a gua sha routine a few years back I have generally been able to keep my facial puffiness at bay which makes me a big advocate! 

The facial exercises demonstrated by Trinh are completely new to me and I’m hoping they work – look at her cheekbones! Who knew it was possible to achieve that without filler? Initially, I found it difficult to target/move the specific muscles in my face necessary to do the “workout” (I’m primarily working on lip & marionette lines) but practicing these exercises each day is getting easier. It’s also something that is accessible while doing other things throughout the day. I haven’t seen major changes yet, I think it’s still too soon, but I’m committed to trying for the next few months and am enjoying the results in my face so far! 

**Alisha, Sales Director**

After just three days of facial massage, I noticed a significant reduction in inflammation and puffiness in my face. While longer-term practice is necessary to achieve toning benefits, I already observed a subtle lift in my cheeks and jowls.

**Sam, Writer, The AEDITION**

Over the past few days, I focused specifically on Trinh’s exercises that targeted the forehead. Recently, I’ve noticed I’ve been developing some fine lines, so I was really excited to incorporate some of Trinh’s techniques as a proactive measure. After just five minutes of massage, I noticed my forehead already looked smoother. The effects seem to be short-term for now, but I’m excited to see even more improvement as I dedicate more time.

### **The Bottom Line: Does Facial Massage Work?**

We’re happy to report that TikTok didn’t let us down: facial massage does, in fact, work! That being said, facial massage does have its limitations; it’s not a medical aesthetic procedure, after all. 

With facial massage and exercise, you can expect to improve skin tone and contour, but the effects will be more temporary than a professional treatment. “They are more of the moment temporary improvements; they do not offer any cellular changes nor do they slow down mother nature,” Dr. Shamban tells us. 

The most important factor to preserving a youthful-looking appearance is proper sun protection and, as Dr. Shamban says, taking steps along the way to promote collagen and elastin (aka ‘prejevnation’). These are going to be the biggest differentiators in changing the trajectory of how we age!    


Your Facial Massage Questions Answered

All of Your Questions About the Trending ‘Facial Massage’ Answered

Image Credit: Huha | Unsplash

It’s stuck in your head (oh, oh, oh, Ozempic), it’s all over social media, and it’s all around you. Semaglutide treatments (a.k.a. Ozempic, Wegovy, Rebylsus) have taken the country by storm. [Oprah Winfrey, Amy Schumer, and Tracy Morgan](https://www.today.com/health/celebrities-on-ozempic-rcna129740) are just a few celebrities out of many who have jumped on the weight-loss drug bandwagon, but it’s not just for the rich and famous. Semaglutides are affording patients genuine results says [Dr. William Kennedy, MD,](https://aedit.com/provider/william-kennedy-md-26292), Board Certified Head and Neck Surgeon and Facial Plastic Surgeon. It is hard to overstate the positive effects semaglutides will have on the cosmetic as well as medical community with drastic improvemetns in both ones cosmetic appearance as well as cardiopulmonary health.   It seems like just about everyone in NYC is on some form of semaglutide, says [David Shafer, MD,](https://aedit.com/provider/david-shafer-md-153) a double board-certified plastic and reconstructive surgeon and founder of Shafer Clinic in New York City. But, what exactly are semaglutide treatments, and what’s available on the market today? For everything you could ever want to know about the crazed weight-loss drug, read on.

### **What is Semaglutide?**

While frequently used for weight loss, semaglutide is actually an antidiabetic medication commonly used to treat type 2 diabetes. The medication functions as a glucagon-like peptide-1 (GLP-1) receptor agonist. GLP-1 is a naturally occurring hormone that is responsible for several digestive functions, like triggering the release of insulin and sending satiety signals to the brain. When a GLP-1 agonist medication (either a semaglutide or tirzepatide) is taken, it mimics the hormone and triggers the same effects. So, a semaglutide will act the same way as a naturally-occurring GLP-1 hormone, signaling satiety and releasing insulin to signal the body to convert glucose (sugar) into energy. Because of that, semaglutide treatments work effectively to reduce appetite and, subsequently, food intake. 

“We are seeing a number of patients who simply can't shed that extra 10 to 15 pounds despite exercise and proper diet choices. In many cases, this program allows them to jump-start their weight loss and fine-tune the results they already have achieved,” says [Gregory Buford, MD](https://aedit.com/provider/gregory-buford-md-1015), a board-certified plastic and reconstructive surgeon in Lone Tree, CO. 

### **Risk Factors of Semaglutide**

When it comes to deciding whether or not semaglutide for weight loss is right for you, you’ll want to first look at your medical history. In addition to those with a history of heart disease, [William Bruno, MD,](https://aedit.com/provider/william-bruno-md-625) a board-certified plastic surgeon in Beverly Hill, says semaglutide treatments are not for patients with a history of pancreatitis or thyroid cancer, those who are pregnant, those who have suffered from or are currently managing an eating disorder, or those with a BMI under 27. 

That being said, [Jamie Gabel, PA-C,](https://www.myadvitam.com/provider/jamie-gabel-ms-pa-c) a certified physician assistant at New York’s Advitamin at the Shafer Clinic, says that because there are so many variables, the best way to determine if you would or wouldn't be a good candidate for GLP-1’s is through a consultation. 

“At Advitam, we always perform a comprehensive consultation and dig into our patient's health history and daily routine first. Our assessment also involves blood work, body composition analysis, and physical exam and then from there, we can better determine which medications/peptides would be most advantageous. It's not a cookie-cutter approach at Advitam, it's a customized well thought-out program,” says Jamie Gabel.

### **The Big Three: Ozempic, Wegovy, and Rybelsus**

When it comes to semaglutide treatments, there are three main players on the market. The most well-known are Ozempic and Wegovy. The drug for both is the same (semaglutide), but they are prescribed with different doses and indications. While these two brands are injectables, there is also a semaglutide treatment in tablet form under the name Rybelsus. 

In addition to these three brands, a lot of practitioners will also compound semaglutide to personalize the treatment. “Compounding,” as Dr. Buford explains, effectively means that a specific drug is "compounded" or created by a specialized compounding pharmacy to match the exact formulation of the original drug. In this case, Ozempic and other GLP-1s can be compounded. When they are compounded, then they are referred to not by their trade name (e.g. Ozempic, Wegovy, or Rybelsus) but instead by their generic name (e.g. Semaglutide). From there, Dr. Buford says other additives, like vitamins and salts, can be added to create additional desired effects. 

At Dr. Buford’s practice, he offers a compounded semaglutide called Slim Shot because he finds it to be a more comprehensive approach to weight loss. “We know that our patients are going to lose weight and we also know that there will be changes to not only their overall body appearance but also more specifically to their skin, hair, nails, etc. So we discuss these anticipated changes early on and design a plan to specifically and proactively address these potentially unwanted ancillary changes so that as the weight comes off, our patients still look great. This is a big difference in our program as compared to many others that just focus on weight loss and not the patient's overall appearance,” Dr. Buford says.

### **Considerations of Semaglutide for Weight Loss**

When it comes to weighing the options (see what we did there?), there are a few things to consider. First, is budget and insurance coverage. Technically, Ozempic and [Rybelsus haven’t received FDA clearance for weight management](https://www.fda.gov/news-events/press-announcements/fda-approves-first-oral-glp-1-treatment-type-2-diabetes); the two have only been approved for people with type 2 diabetes. Wegovy, on the other hand, has been [FDA-approved](https://www.fda.gov/news-events/press-announcements/fda-approves-new-drug-treatment-chronic-weight-management-first-2014) specifically for weight management. The FDA states that Wegovy is indicated for those with a BMI of 30 or greater or a BMI of 27 or greater if there are associated health problems, like high blood pressure, type 2 diabetes, or high cholesterol.

Unless you meet the requirements set by the FDA, your insurance will most likely not cover your semaglutide prescription. When using semaglutide specifically for weight loss, a lot of programs do not go through insurance. Instead, patients will have to pay out of pocket. Dr. Buford says that since many of his patients are not trying to lose a massive amount of weight and are not diabetic, their treatment wouldn’t be covered by insurance.

Another consideration is your lifestyle and preferences for medication. Ozempic and Wegovy are at-home self-injectables that you administer once a week. Rybelsus is available as a tablet to be taken orally, but it needs to be taken daily. Each brand has a different dosage, so some might work better for others.

As with any drug, there can be side effects when taking semaglutide medication. The most common side effects are nausea, diarrhea, vomiting, constipation, abdominal pain, headache, tiredness, upset stomach, dizziness, feeling bloated, belching, gas, stomach flu, and heartburn.

### **How Long Can Semaglutide be Taken?** 

Lastly, it’s important to discuss a long-term plan for your semaglutide treatment. Currently, there are no set guidelines for how long someone should be on a semaglutide, so it really depends on the individual. Dr. Shafer, for instance, shared that he has been on it for about a year and a half and has lost about 30 pounds. And, [Wegovy’s safety and efficacy trial](https://www.fda.gov/news-events/press-announcements/fda-approves-new-drug-treatment-chronic-weight-management-first-2014) was over a 68-week period.

“From a patient perspective, I have learned new eating habits with smaller meals and avoidance of doughy foods which tend to cause some discomfort. So, no more bread, pasta, french fries, etc. Even if I miss a dose, I have learned to avoid those foods which has helped sustain my weight loss,” Dr. Shafer tells us. 

When stopping semaglutide, [research](https://pubmed.ncbi.nlm.nih.gov/35441470/) has shown that many patients gain the weight back since they often revert to their former lifestyles. So, if starting a semaglutide treatment, be aware that you’ll most likely need to have ongoing treatment for maximized results.

### **Experts Predict Semaglutide Treatments for Weight Loss are Here to Stay**

**Dr. Shafer:** Semaglutides and related treatments are definitely a game changer in the weight loss and plastic surgery world. As more understanding and protocols are developed we will see expanded uses and safety profiles. We have seen tremendous growth in our metabolic center, Advitam, at Shafer Clinic. Patients are becoming more sophisticated and understand that beauty and health start at the metabolic level so treating from the inside out is just as important as the external treatments we are performing for them. 

**Dr. Buford:** The GLP-1s are here to stay and we have only seen the tip of the iceberg in terms of their benefits. My prediction is that this sector is going to be the next BOTOX. What started as a drug for diabetics and more massive weight loss is now being used by many centers like mine for not only isolated weight loss but also before and after body contouring surgeries to effectively get at fat that surgery just can't reach. In doing so, we are seeing even better results with this combinative approach and I foresee that the entire category of GLP-1's are going to grow in popularity over time and become a more common part of our approach to total body rejuvenation. 

**Dr. Bruno:** I do believe that this class of injections for weight loss, as well as other peptides, is here to stay and more options will be available to patients over the course of the next few years. There will also be more clinical data available to support their use.

**Dr. Kennedy:** The remarkable weight loss resulting from Semaglutides use has resulted in drastic improvements in people's appearance as well as in their overall health. Exciting adoption of the drugs happens seemingly daily with most recently the Centers for Medicare approving coverage of the drug for patients with elevated cardiac risk factors. Semaglutides are the real deal and are certainly here to stay.

### **The Bottom Line**

GLP-1’s, specifically semaglutide, have completely transformed the weight loss industry. With a daily tablet or a weekly injectable, patients have experienced life-changing results. Just keep in mind that even though these treatments are miracle workers, you’ll still have to maintain a similar lifestyle to keep the weight off! 


A Comprehensive Guide to Medical Weight Loss Drugs

 The Current Skinny on Semaglutides

A Comprehensive Guide to Semaglutide: The Current Skinny on the World's Favorite Weight Loss Drug 

Unsplash/Manny Moreno  - Bye Bye Cellulite, Hello Avéli 

Being a woman has a lot of benefits; on average, we [live longer](https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7829786/) and have a [higher pain threshold](https://nypost.com/2019/01/11/women-have-a-higher-pain-threshold-than-men-study/) (sorry, boys). But, there are plenty of negatives associated with being female. There’s the obvious: childbirth; the unjust: the gender pay gap; and then there’s the ugly… cellulite. And, while we hate to even mention the C word, [nearly 90%](https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10324940/) of us women experience it.

Even though cellulite is omnipresent, it’s been hidden and hushed about for years. But lately, celebs like [Demi Lovato, Olivia Munn, and Ashley Graham](https://people.com/health/celebrities-who-celebrate-stretch-marks-cellulite/) are showing off their natural bodies, cellulite and all. And, brands are also joining the body positivity movement to promote inclusion and acceptance of all body types and appearances. The topic has been so heavily discussed that sometimes the media makes us feel guilty if we don’t fully embrace our natural selves. But, even if we know cellulite is ubiquitous and a normal part of being a postpubertal woman, sometimes we just can’t (or don’t want to) accept it. That’s why doctors are excited about [Avéli®](https://aedit.com/procedure/avelir), one of the newest innovations in cellulite treatment, as a way to help restore their patients’ confidence. 

## **What is Cellulite?**
Cellulite is the dimpling or puckering that occurs around the thighs, buttocks, and hips. While it mostly affects women, about 10% of men suffer from cellulite too. While many find it unattractive, cellulite is completely harmless. It forms when fibrous bands of connective tissue (aka as the septa) contract, tethering the skin to the muscle and pushing the fat upward. Researchers are still trying to determine what causes cellulite, but it is commonly believed that hormones, skin elasticity, genetics, and weight distribution play a substantial role. 

## **There Hasn’t Been a Good Cellulite Treatment…Until Now** 
At times, it seems like plastic surgeons and dermatologists can do the impossible; they can smooth away fine lines and wrinkles, tighten trouble areas, or add volume when we need a little oomph. But, when it comes to cellulite, [professionals have been stumped](https://www.plasticsurgery.org/news/articles/why-is-cellulite-so-hard-to-address-and-what-are-my-options) for decades.

Doctors have approached cellulite correction a number of different ways over the years: microneedling (Cellfina), radiofrequency (VelaShape and Emtone), laser (Cellulaze), and injectables (QWO). But, none of these treatments come without flaws. Some have intense bruising, others require multiple sessions, and, overall, aren’t the most efficacious. 

“Previous strategies were riddled with incomplete releases or not targeting the root cause,” Dr. Hustak adds. “This coupled with bruising and downtime without results, left patients dissatisfied.” 

Enter Avéli®, a recently FDA-cleared cellulite treatment that doctors are saying is a total game changer. 

## **The Technology has Advanced by Leaps and Bounds** 

With so much trial and error over the years, Avéli® seems to be the long-awaited answer for an effective cellulite treatment. Or, as [Kristi Hustak, MD, board-certified Plastic Surgeon, says](https://www.kristihustakmd.com/meet-dr-hustak/), “it’s a revolutionary piece to the puzzle as we look at cellulite.” 

According to [Mary-Margaret Kober, MD, FAAD, board-certified Cosmetic Surgeon and Dermatologist](https://www.jackzamoramd.com/dr-mary-margaret-kober), and Dr. Hustak, the two main advantages of Avéli® are its advanced precision and ability to verify the release of the dimple during the procedure. Furthermore, Avéli® minimizes downtime, provides proven results in a single treatment, and, so far, has shown significantly greater efficacy. 

“The ability to target specific fibrous bands causing cellulite and verify their removal sets Avéli® apart from the competition and offers a promising leap forward in the treatment of cellulite,” Dr. Kober tells us. “Having used multiple cellulite treatments in the past, I can confidently say that Avéli® is the first treatment for cellulite that truly works.” 

“Aveli® is unique among cellulite treatments in that it allows targeted incision and release of each individual septa causing a dimple,” says board certified Head & Neck Surgeon and fellowship trained Facial Plastic Surgeon, [Dr. William Kennedy, MD, board-certified Head & Neck Surgeon and Facial Plastic Surgeon](https://aedit.com/provider/william-kennedy-md-26292), and Founder of AEDIT MedSpa™. “Although, unlike other techniques that use single-use thermal mechanism of septa release such as Cellulaze, Avéli® does not promote collagen production and is a simple release of tethering causing a dimple.”

So, how does Avéli® work? It’s a minimally-invasive hand-held device that has a light blade to cut the complex fibrous networks that are responsible for causing cellulite dimples. When a patient comes to the office for the Avéli® treatment, Dr. Kober says she marks the cellulite dimples and applies a numbing solution (tumescent anesthesia) to the targeted areas. From there, the Avéli® device is advanced under the skin and methodically releases the fibrous bands that cause each dimple. The unique thing about Avéli® is that physicians are able to confirm whether or not all of the offending fibrous bands have been cleared. This is what Dr. Kober and Dr. Hustak say really sets Avéli® apart and truly contributes to its exceptional results.

## **Most patients need a multimodal approach for smoother skin**

When it comes to treating cellulite with Avéli®, Dr. Hustak says that the ideal candidate has dimpled cellulite over the buttocks, back of thighs, or outer thighs even at their leanest. Unfortunately, this is the type of cellulite that isn’t going away with exercise or fat loss. 

More often than not, Dr. Hustak says patients are experiencing cellulite along with low skin elasticity, volume and muscle loss, and increasing fat pockets. “These aspects need to be addressed to improve results and that requires a multimodal approach,” Dr. Hustak tells The AEDITION. “Skin tightening devices, liposuction, biostimulatory fillers, and fat can all be used to improve results, and often at the same time.”

In Dr. Kober’s practice, the team often uses a combination of Avéli® for cellulite and [Attiva](https://www.attivarf.com/) for skin tightening, as a way to address skin laxity concerns. “Depending on the patient and her needs, we also employ liposuction to address fat pockets or fillers, such as [Sculptra](https://www.sculptrausa.com/?utm_campaign=2023paidsearch&utm_source=google&utm_medium=cpc&utm_content=Exact-CONS&utm_term=sculpta&utm_id=SCUL2023JVEPDZ99YO&c3apidt=p77177680451&gad_source=1&gclid=CjwKCAjw7-SvBhB6EiwAwYdCAcjEwDqiDoLqQ_m64VbZyEVQeqJ8F3s6G2PaBYfs3PsDn2v5q7gOexoCY5MQAvD_BwE&gclsrc=aw.ds), to increase volume. We are able to combine multiple modalities in a single treatment,” Dr. Kober shares.

Because Avéli® solely targets cellulite, not skin laxity or volume, results will vary from person to person. Dr. Hustak says that the more severe and deep the dimples, the less dramatic the results overall. This is because some of the deeper dimples might have volume missing under them, which would benefit from a touch of filler. That being said, Dr. Hustak and Dr. Kober both report that their patients have been happy with the improvements and feel more confident in their skin.

## **Conclusion**

For those of us who have been wanting to say farewell to cellulite for years, Avéli® might be the final piece to the puzzle. While we support the media's messaging around loving our bodies "as-is," we also acknowledge that approach doesn't work for everyone and are firm believers that the pathway to becoming your most confident self should be solely up to you. Regardless of if plastic surgery is involved, we believe in empowering people in their desire to enhance their natural beauty. At the end of the day, shouldn’t we all feel happy and comfortable in our skin? 








Expert perspective on the distinctive qualities of Avéli® and its departure from conventional cellulite treatment approaches.

Understanding What Sets Avéli® Apart Fom Other Cellulite Treatments

Bye Bye Cellulite, Hello Avéli®

shutterstock 1412178767

*Feel like you need a dictionary every time you look at the ingredient list of a beauty product? Still unsure of the difference between retinol and retinoids? What about the unique benefits of vitamins B, C, and E? Are alpha and beta hydroxy acids the same thing? The skincare aisle can be overwhelming, but you don’t need a PhD in cosmetic chemistry to navigate it. With expert help, The AEDITION is demystifying and simplifying the beauty industry — [one label at a time](https://aedit.com/aedition/category/read-the-label).*

When you think of treating [dry skin](https://aedit.com/aedition/how-to-treat-prevent-dry-skin-face-body-hands), what skincare ingredients come to mind? If shea butter is at the top of your list, there's a good reason for it. The gentle yet deeply nourishing ingredient is found in many [moisturizing creams](https://aedit.com/aedition/best-body-creams-lotions-balms-for-every-skin-concern) and products thanks to its ability to tackle everything from skin conditions (think: [eczema](https://aedit.com/aedition/best-skincare-products-to-treat-eczema-flare-ups-in-the-winter)) to aesthetic concerns (i.e. [uneven skin texture](https://aedit.com/concern/uneven-skin-texture)). Thanks to its versatility, shea butter is likely already in your vanity – but do you know just how beneficial the botanical really is? In order to learn more about the wonder ingredient, we’re asking skincare experts for their take.

## **What Is Shea Butter?**
Shea butter is a fat that is extracted from the nut of the vitellaria paradoxa (a.k.a. karite or shea tree), which is found in many countries across the African continent, including Ghana, Benin, Mali, Nigeria, Ethiopia, and Uganda. It’s [extracted](https://www.worldagroforestry.org/news/huge-potential-shea-nigeria) from the nut of the tree through crushing, roasting, and grinding and then separated from the resulting paste by kneading and mixing with water.

Shea butter has been used for centuries as a medicine, lotion, cooking oil, [decongestant](https://www.ncbi.nlm.nih.gov/pmc/articles/PMC1429586/), waterproofing wax, and wood treatment (to name a few). In today’s beauty and personal care, the butter is used in its natural state or as part of a larger formula. Finding the right shea butter product will depend on your preferences and skincare routine. Shea butter on its own takes the form of a rich, balm-like moisturizer. When formulated with other ingredients – often oils and butters like coconut, avocado, and cocoa – it can be found in creams, lotions, soaps, conditioners, and more.

## **The Benefits of Shea Butter in Skincare**
Shea butter is so valuable to the skin because it’s “rich in triglycerides with multiple fatty acids, including oleic, stearic, linoleic, and palmitic fatty acids,” says Krupa Koestline, clean cosmetic chemist and founder of [KKT Consultants](https://www.kktconsultants.com/). It’s also packed with vitamins (specifically, [vitamin A](https://aedit.com/aedition/guide-to-vitamin-a-retinol-retinoids-in-skincare), [vitamin D](https://aedit.com/aedition/guide-to-vitamin-d-in-skincare-wellness), and [vitamin E](https://aedit.com/aedition/guide-to-topical-vitamin-e-in-skincare)) and skin barrier-boosting allantoin.

![Shea Butter Skincare Benefits Infographic](//images.ctfassets.net/zw35sfestf1t/2cKnc32KRn6lkKYGy9ZOly/fe38613980159d4bd0f021f446f43bab/Shea-Butter-Skincare-Benefits-Infographic.jpg)

If you’re wondering why shea butter works so well as a moisturizer, Koestline points out that it is an emollient due to its high lipid content. “It helps add lipids back into your skin barrier, it has good water-binding properties, and it also absorbs rapidly into the skin,” she explains. “It helps keep the skin moisturized for a long time.” And, while you wouldn’t consider shea butter an ‘anti-aging’ ingredient, per say, the hydrating benefits can have a smoothing and plumping effect on crepey or wrinkled complexions. The antioxidant-rich butter can also improve skin tone and texture.

## **The Best Candidates for Shea Butter**
Shea butter is a good idea for pretty much anyone who is looking for lasting moisture, but people with dry skin will benefit the most from the hydrator. Because of its [anti-inflammatory properties](https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5796020/), Koestline says that shea butter can be used to treat or soothe certain skin conditions. “It’s shown to help improve eczema and help speed up wound healing — but only when it’s been refined,” she notes. [During pregnancy](https://aedit.com/aedition/most-common-skin-hair-conditions-during-pregnancy), shea butter can be used to hydrate and relieve the itchiness that accompanies expanding skin, which, in turn, can [help prevent stretch marks](https://aedit.com/aedition/how-to-minimize-stretch-marks) from forming. 

Who isn’t a candidate for shea butter? People with [oily skin](https://aedit.com/aedition/difference-between-oily-and-acne-prone-skin) may want to avoid using the botanical on the face and instead focus on the body. Furthermore, it is possible that those with tree nut allergies may have a reaction to products with shea butter. In such cases, be sure to talk to your healthcare provider before introducing the ingredient. A patch test may also be helpful.

## **How to Add Shea Butter To Your Skincare Routine**
Shea butter isn’t known to negatively interact with any other ingredients, and it doesn’t affect sun sensitivity (although you should be wearing [sunscreen](https://aedit.com/aedition/best-sunscreens-that-act-as-makeup) regardless!). This means that you can slide shea butter into any part of your skincare or body care routine.

If you choose to try shea butter in its natural form, it should be used as your final moisturizing step. [RA Cosmetics](https://go.skimresources.com?id=170670X1638612&xs=1&url=https%3A%2F%2Fshop.racosmetics.com%2F100-Pure-Shea-Butter-16oz-0148.htm) has a 100 percent natural, unrefined shea product from Ghana that I personally vouch for, while [Bulk Apothecary](https://go.skimresources.com?id=170670X1638612&xs=1&url=https%3A%2F%2Fwww.bulkapothecary.com%2Fraw-ingredients%2Fwaxes-and-butters%2Fpure-shea-butter-bulk%2F) offers refined versions. Shea butter is also found in moisturizers like the [SheaMoisture Raw Shea Butter Body Lotion](https://go.skimresources.com?id=170670X1638612&xs=1&url=https%3A%2F%2Fwww.ulta.com%2Fp%2Fraw-shea-butter-body-lotion-xlsImpprod6390709), [Karité Hand Cream](https://go.skimresources.com?id=170670X1638612&xs=1&url=https%3A%2F%2Fwww.mykarite.com%2Fproducts%2Fhand-cream-3-4-fl-oz), [Nessa Body Saviour](https://go.skimresources.com?id=170670X1638612&xs=1&url=https%3A%2F%2Fcredobeauty.com%2Fproducts%2Fnessas-body-saviour), and [Paula’s Choice Skin Restoring Moisturizer with SPF 50](https://go.skimresources.com?id=170670X1638612&xs=1&url=https%3A%2F%2Fwww.paulaschoice.com%2Fresist-skin-restoring-moisturizer-with-spf-50%2F797-7970.html). 

You can also look to products like the [Kopari Super Suds Soap Bar](https://go.skimresources.com?id=170670X1638612&xs=1&url=https%3A%2F%2Fkoparibeauty.com%2Fproducts%2Fsuper-suds-moisturizing-soap-bar%3F) for your shea butter fix, as it works especially well for those who deal with dryness from head to toe and want to cleanse without further stripping their skin. [Tata Harper’s Bio-Barrier Serum](https://go.skimresources.com?id=170670X1638612&xs=1&url=https%3A%2F%2Fcredobeauty.com%2Fproducts%2Fbio-barrier-serum), meanwhile, uses shea butter, evening primrose oil, and [squalane](https://aedit.com/aedition/benefits-of-squalane-for-skin-hair) to smooth skin and minimize the appearance of fine lines and wrinkles. There are also a number of lip balms (hi, [Public Goods](https://go.skimresources.com?id=170670X1638612&xs=1&url=https%3A%2F%2Fwww.publicgoods.com%2Fproducts%2Fcopy-of-lip-balm-0-05oz%3Fvariant%3D34054579028106)) and even deodorants (here’s looking at you, [Hello](https://www.hello-products.com/product/sage-eucalyptus-deodorant/)) that contain shea butter. 

The world is really your oyster here!

## **The Takeaway**
Whether you use it alone or as part of a larger formula, shea butter is one of the most nourishing ingredients around. It has many historical uses that are still in practice today (think: treating wood, protecting cuts, and as a cooking oil), but it’s most commonly used as a moisturizer thanks to its high lipid and fatty acid content. Shea butter plays well with others, which means it can be added to any part of your routine during which you wish to banish dry skin.

*All products featured are independently selected by our editors, however, AEDIT may receive a commission on items purchased through our links.*

Looking for an all-natural way to keep your skin hydrated all day long? Here’s what you need to know about shea butter – skincare’s most underrated ingredient.

Guide To Shea Butter In Skincare For Dry Skin, Eczema, Moisturizing

Read The Label: All Of Your Shea Butter Questions Answered

Hormone Replacement Therapy: What Is It and Who Is it For


Toa Heftiba | Unsplash

We’ve all heard of hormones — and, most likely with a negative connotation. But, without hormones, we’d be in a lot of trouble. They’re responsible for processing many of our body’s most essential functions, like metabolism, blood pressure, sexual function, and mood. 

When our hormones aren’t optimized, we refer to it as a ‘hormonal imbalance.’ Several factors can cause this imbalance and, unfortunately, a lot of them are out of our control. For instance, there are certain situational events (e.g. puberty, pregnancy, and menopause), health-related issues (e.g. tumors, thyroid disorders, diabetes, adrenal dysfunction, etc), and genetics that can make our hormones go haywire. 

On the other hand, there are some lifestyle changes we can make to improve hormone levels. Exercising regularly, eating healthfully, managing stress, and limiting exposure to environmental toxins (e.g. smoking, alcohol, etc) have been proven to help keep hormone levels in check. 

In some instances, it becomes nearly impossible to correct hormone imbalances naturally and medical intervention is required. For patients who find themselves in this position, doctors will turn to hormone replacement therapy (HRT) to improve their patient’s quality of life. Here’s everything you need to know: 



### **What Exactly is Hormone Replacement Therapy?**

As mentioned above, hormones are responsible for regulating everything from our mood to our physical well-being. When unbalanced, they have a number of unpleasant side effects, including sluggishness, weight gain, and sleep disruption. HRT is a treatment with the goal of restoring hormonal balance in men and women to improve the overall sense of well-being.
   
HRT is available in many formats (e.g. pills, patches, gels, creams, sprays, and intrauterine devices (IUDs) and is often prescribed by an ob-gyn or primary care physician. That being said, some board-certified plastic surgeons also offer HRT in conjunction with cosmetic procedures. 

Typically, practitioners will only offer HRT for up to five years, but [Jamie Gabel, PA-C](https://www.myadvitam.com/provider/jamie-gabel-ms-pa-c), a certified physician assistant at New York’s [Advitamin](https://www.myadvitam.com/) at the [Shafer Clinic](https://www.shaferplasticsurgery.com/), says that when prescribing hormones, you have to consider each patient's individual history to best determine when to start, finish, or continue HRT.

In addition to traditional HRT, a lot of prescribers like bioidentical hormone therapy (BHRT), which many consider to be closest to natural human hormones.  [Dr. William Kennedy, MD](https://aedit.com/provider/william-kennedy-md-26292), board-certified Head & Neck Surgeon and Facial Plastic Surgeon, and Founder of [AEDIT MedSpa™](https://aedit.com/provider/aeditmed-spa-md-34673) says the hormones used in HRT are derived from the urine of pregnant horses and other organic hormones. Bioidentical Hormones used in BHRT on the other hand are derived from plants and are chemically identical to naturally occurring hormones in the body. Being chemically identical to our own hormones gives BHRT a significant advantage over traditional HRT in that you have fewer side effects and dosing can be more precisely titrated to doses that meet the patient’s exact needs.

### **The Benefits of HRT**

Hormone imbalances can cause an array of health conditions and can affect the skin, reproductive organs, metabolism, and mental health. To counteract these effects, many doctors will prescribe HRT to drastically improve well-being. 

Board-certified cosmetic dermatologist in West Hollywood, [Jason Emer, MD](https://aedit.com/provider/jason-emer-md-722), says that when women experience a hormonal imbalance, they could suffer from headaches, hair loss, excessive hair growth on the face, acne, irregular periods, vaginal dryness, and discomfort during sex. Men, on the other hand, might have difficulty maintaining muscle mass, difficulty concentrating, erectile dysfunction (ED), swollen breast tissue (gynecomastia), and decreased facial and body hair growth. To determine whether or not someone would be a good candidate for HRT, most doctors will perform and assess bloodwork. 

“You can have someone who is younger with endocrine issues that needs HRT and someone who is going through decreased values with age, stress, catastrophic life events, etc. There is no specific person that is or isn't a candidate,” says Dr. Emer.

Previously, it was believed that people above the age of 60 or those with a history of blood clots or heart disease were ineligible candidates for HRT. Dr. Emer says that if someone has low levels, improving their hormone levels may help their heart disease or cholesterol. That being said, Dr. Emer adds that if someone is older with a lot of comorbidities, it may be better to hold off on treating the hormonal imbalance until the person is in better health. 

### **Why Plastic Surgeons Are Excited About HRT**

It’s no secret that plastic surgeons are obsessed with outward beauty — it’s what makes us feel individualized and empowered, after all! But, as clichéd as it sounds, outer beauty starts from within. We need to look and feel good, both physically and mentally. That’s why our network of experts is particularly excited about incorporating HRT into their practices.

Dr. Emer, for instance, focuses on a ‘holistic’ approach to antiaging where he not only addresses patients’ outside cosmetic concerns but also their internal aging process. “We discuss evaluating hormonal changes as they age and after events, like pregnancy or weight loss, to determine if hormonal supplementation or peptides are needed to aid in concerns they have with age (e.g. stress, sleep issues, hair loss, joint pains, sexual dysfunction or loss of drive, and skin changes),” Dr. Emer tells The AEDITION. During each of his cosmetic consults, Dr. Emer discusses internal wellness and, if they have any concerns, his team evaluates it with blood tests and supplementation. 

Dr. Kennedy is excited about the advances HRT and BHRT have made over the past few years and the promise of more advances on the way. “As we age, changes to the way we look and feel are a direct result of changes in our internal production of chemicals and hormones. At AEDIT Medspa™ we replenish these hormones so both the cause and effect of aging are addressed. Success at AEDIT Medspa™ is a person feeling great about themselves not just on the outside but on the inside too.” 

HRT can be used independently or in conjunction with other treatments (e.g. results. anti-aging, sexual rejuvenation, or fat reduction) to enhance results. At Advitamin at the Shafer Clinic, they sometimes offer BHRT with treatments like IV infusion therapy, peptide therapies, regenerative procedures, and nutritional supplements, depending on the needs of the patient.

### **The Takeaway**

With a proven track record, Hormone Replacement Therapy (HRT) is rapidly gaining popularity among plastic surgeons and other healthcare providers. The integration of HRT into their offerings underscores its pivotal role in not only optimizing our hormonal balance for physical well-being but also in enhancing our outward appearance.


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